{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T23:35:04Z","timestamp":1793748904861,"version":"4.6.1"},"reference-count":19,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:00:00Z","timestamp":1625097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:00:00Z","timestamp":1625097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["amjmed.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Medicine"],"published-print":{"date-parts":[[2021,7]]},"DOI":"10.1016\/j.amjmed.2021.01.021","type":"journal-article","created":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T23:44:26Z","timestamp":1614037466000},"page":"902-909.e5","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":21,"title":["Trends and Outcomes of Elective Thoracic Aortic Repair and Acute Thoracic Aortic Syndromes in the United States"],"prefix":"10.1016","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4248-781X","authenticated-orcid":false,"given":"Ayman","family":"Elbadawi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9853-7591","authenticated-orcid":false,"given":"Islam Y.","family":"Elgendy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernesto","family":"Jimenez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohmed A.","family":"Omer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hend I.","family":"Shahin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gbolahan O.","family":"Ogunbayo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Paniagua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8754-358X","authenticated-orcid":false,"given":"Hani","family":"Jneid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.amjmed.2021.01.021_bib0001","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1016\/j.jacc.2009.08.084","article-title":"Thoracic aortic aneurysm: clinically pertinent controversies and uncertainties","volume":"55","author":"Elefteriades","year":"2010","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.amjmed.2021.01.021_bib0002","doi-asserted-by":"crossref","first-page":"e266","DOI":"10.1161\/CIR.0b013e3181d47d48","volume":"121","author":"Hiratzka","year":"2010","journal-title":"Circulation"},{"key":"10.1016\/j.amjmed.2021.01.021_bib0003","doi-asserted-by":"crossref","first-page":"2873","DOI":"10.1093\/eurheartj\/ehu281","volume":"35","author":"Erbel","year":"2014","journal-title":"Eur Heart J"},{"key":"10.1016\/j.amjmed.2021.01.021_bib0004","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.jtcvs.2018.07.114","article-title":"Descending threshold for ascending aortic aneurysmectomy: Is it time for a \u201cleft-shift\u201d in guidelines?","volume":"157","author":"Ziganshin","year":"2019","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.amjmed.2021.01.021_bib0005","doi-asserted-by":"crossref","first-page":"1938","DOI":"10.1016\/j.jtcvs.2017.10.140","article-title":"Height alone, rather than body surface area, suffices for risk estimation in ascending aortic aneurysm","volume":"155","author":"Zafar","year":"2018","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.amjmed.2021.01.021_bib0006","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1016\/j.jtcvs.2014.05.050","article-title":"Modeling of predissection aortic size in acute type A dissection: more than 90% fail to meet the guidelines for elective ascending replacement","volume":"148","author":"Rylski","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.amjmed.2021.01.021_bib0007","series-title":"Clinical Classifications for Health Policy Research: Version 2: Software and User's Guide","author":"Elixhauser","year":"1996"},{"key":"10.1016\/j.amjmed.2021.01.021_bib0008","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.jvs.2018.09.047","article-title":"Performance of current claims-based approaches to identify aortic dissection hospitalizations","volume":"70","author":"Finnesgard","year":"2019","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.amjmed.2021.01.021_bib0009","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2016-012832","article-title":"Positive predictive value of cardiovascular diagnoses in the Danish National Patient Registry: a validation study","volume":"6","author":"Sundb\u00f8ll","year":"2016","journal-title":"BMJ Open"},{"key":"10.1016\/j.amjmed.2021.01.021_bib0010","doi-asserted-by":"crossref","first-page":"1010","DOI":"10.1016\/j.jtcvs.2011.08.014","article-title":"Endovascular versus open repair of ruptured descending thoracic aortic aneurysms: a nationwide risk-adjusted study of 923 patients","volume":"142","author":"Gopaldas","year":"2011","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.amjmed.2021.01.021_bib0011","doi-asserted-by":"crossref","first-page":"1649","DOI":"10.1016\/j.jvs.2017.09.050","article-title":"National trends in admissions, repair, and mortality for thoracic aortic aneurysm and type B dissection in the National Inpatient Sample","volume":"67","author":"Wang","year":"2018","journal-title":"Journal of vascular surgery"},{"key":"10.1016\/j.amjmed.2021.01.021_bib0012","first-page":"189","article-title":"Outcomes of urgent versus nonurgent transcatheter aortic valve replacement","volume":"96","author":"Elbadawi","year":"2020"},{"key":"10.1016\/j.amjmed.2021.01.021_bib0013","doi-asserted-by":"crossref","first-page":"e85","DOI":"10.1016\/j.jvs.2020.04.160","article-title":"Racial and ethnic disparities in patients with ruptured abdominal aortic aneurysm","volume":"72","author":"Pandit","year":"2020","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.amjmed.2021.01.021_bib0014","first-page":"887","article-title":"Racial variation in the complexity of coronary artery disease in patients with acute ST-segment elevation myocardial infarction","volume":"13","author":"Elbadawi","year":"2018","journal-title":"Cardiovasc Revasc Med"},{"key":"10.1016\/j.amjmed.2021.01.021_bib0015","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/S0003-4975(01)03236-2","article-title":"Yearly rupture or dissection rates for thoracic aortic aneurysms: simple prediction based on size","volume":"73","author":"Davies","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.amjmed.2021.01.021_bib0016","doi-asserted-by":"crossref","first-page":"1926","DOI":"10.1001\/jama.280.22.1926","article-title":"Improved prognosis of thoracic aortic aneurysms: a population-based study","volume":"280","author":"Clouse","year":"1998","journal-title":"JAMA"},{"issue":"10","key":"10.1016\/j.amjmed.2021.01.021_bib0017","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1161\/CIRCULATIONAHA.107.702720","article-title":"Aortic diameter>or= 5.5 cm is not a good predictor of type A aortic dissection: observations from the International Registry of Acute Aortic Dissection (IRAD)","volume":"116","author":"Pape","year":"2007","journal-title":"Circulation"},{"key":"10.1016\/j.amjmed.2021.01.021_bib0018","unstructured":"Whalen D, Houchens R, Elixhauser A. 2004 HCUP Nationwide Inpatient Sample (NIS) Comparison Report. Rockville, MD: Healthcare Utilization Project\/US Agency for Healthcare Research and Quality; 2007. HCUP Method Series Report 2007-03. Available at: http:\/\/www.hcup-us.ahrq.gov\/reports\/methods\/methods_topic.jsp."},{"key":"10.1016\/j.amjmed.2021.01.021_bib0019","doi-asserted-by":"crossref","first-page":"2056","DOI":"10.1016\/j.amjcard.2017.03.037","article-title":"Cardiovascular outcomes with surgical left atrial appendage exclusion in patients with atrial fibrillation who underwent valvular heart surgery (from the National Inpatient Sample Database)","volume":"119","author":"Elbadawi","year":"2017","journal-title":"American J Cardiol"}],"container-title":["The American Journal of Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002934321001017?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002934321001017?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T09:23:58Z","timestamp":1757582638000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002934321001017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":19,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["S0002934321001017"],"URL":"https:\/\/doi.org\/10.1016\/j.amjmed.2021.01.021","relation":{},"ISSN":["0002-9343"],"issn-type":[{"value":"0002-9343","type":"print"}],"subject":[],"published":{"date-parts":[[2021,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Trends and Outcomes of Elective Thoracic Aortic Repair and Acute Thoracic Aortic Syndromes in the United States","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjmed.2021.01.021","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}