{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T12:24:36Z","timestamp":1785241476728,"version":"3.55.0"},"reference-count":32,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T00:00:00Z","timestamp":1758412800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgery in Practice and Science"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1016\/j.sipas.2025.100311","type":"journal-article","created":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T09:23:06Z","timestamp":1758619386000},"page":"100311","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"special_numbering":"C","title":["Factors affecting acute aortic dissection mortality: A multicentre cohort study"],"prefix":"10.1016","volume":"23","author":[{"given":"Joshua G.","family":"Kovoor","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John M.","family":"Glynatsis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos C.","family":"Glynatsis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Domenico","family":"Perrotta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elyssa","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Daniell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Bacchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon","family":"Stretton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daksh","family":"Tyagi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph N.","family":"Hewitt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelyn L.W.","family":"Khong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana U.","family":"Siriwardena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David X.H.","family":"Ling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher D.","family":"Ovenden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohan","family":"Arasu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan Henry W.","family":"Jacobsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Edwards","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Marshall-Webb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pramesh","family":"Kovoor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin A.J.","family":"Reddi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin C.Y.","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Ramponi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kurian J.","family":"Mylankal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael G.","family":"Worthington","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aashray K.","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"9970","key":"10.1016\/j.sipas.2025.100311_bib0001","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1016\/S0140-6736(14)61005-9","article-title":"Management of acute aortic dissection","volume":"385","author":"Nienaber","year":"2015","journal-title":"Lancet"},{"issue":"14","key":"10.1016\/j.sipas.2025.100311_bib0002","doi-asserted-by":"crossref","first-page":"e27","DOI":"10.1016\/j.jacc.2010.02.015","article-title":"2010 ACCF\/AHA\/AATS\/ACR\/ASA\/SCA\/SCAI\/SIR\/STS\/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease","volume":"55","author":"ACoC","year":"2010","journal-title":"J Am Coll Cardiol"},{"issue":"20","key":"10.1016\/j.sipas.2025.100311_bib0003","doi-asserted-by":"crossref","first-page":"2213","DOI":"10.1161\/CIRCULATIONAHA.110.988568","article-title":"Sensitivity of the aortic dissection detection risk score, a novel guideline-based tool for identification of acute aortic dissection at initial presentation: results from the international registry of acute aortic dissection","volume":"123","author":"Rogers","year":"2011","journal-title":"Circulation"},{"issue":"7","key":"10.1016\/j.sipas.2025.100311_bib0004","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1001\/jama.283.7.897","article-title":"The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease","volume":"283","author":"Hagan","year":"2000","journal-title":"JAMA"},{"issue":"41","key":"10.1016\/j.sipas.2025.100311_bib0005","doi-asserted-by":"crossref","first-page":"2873","DOI":"10.1093\/eurheartj\/ehu281","volume":"35","author":"members","year":"2014","journal-title":"Eur Heart J"},{"issue":"3","key":"10.1016\/j.sipas.2025.100311_bib0006","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1093\/icvts\/ivz281","article-title":"Aortic dissection reconsidered: type, entry site, malperfusion classification adding clarity and enabling outcome prediction","volume":"30","author":"Sievers","year":"2020","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"3","key":"10.1016\/j.sipas.2025.100311_bib0007","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/S0003-4975(10)65594-4","article-title":"Management of acute aortic dissections","volume":"10","author":"Daily","year":"1970","journal-title":"Ann Thorac Surg"},{"issue":"36","key":"10.1016\/j.sipas.2025.100311_bib0008","doi-asserted-by":"crossref","first-page":"3538","DOI":"10.1093\/eurheartj\/ehae179","volume":"45","author":"Mazzolai","year":"2024","journal-title":"Eur Heart J"},{"issue":"1","key":"10.1016\/j.sipas.2025.100311_bib0009","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.ejvs.2016.06.005","article-title":"Editor's Choice \u2013 Management of Descending Thoracic Aorta Diseases: Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS)","volume":"53","author":"Riambau","year":"2017","journal-title":"European Journal of Vascular and Endovascular Surgery"},{"issue":"2","key":"10.1016\/j.sipas.2025.100311_bib0010","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.ejvs.2018.09.016","volume":"57","author":"Czerny","year":"2019","journal-title":"European Journal of Vascular and Endovascular Surgery"},{"issue":"5","key":"10.1016\/j.sipas.2025.100311_bib0011","doi-asserted-by":"crossref","first-page":"e182","DOI":"10.1016\/j.jtcvs.2023.04.023","article-title":"2022 ACC\/AHA guideline for the diagnosis and management of aortic disease: a report of the American Heart Association\/American College of Cardiology Joint Committee on Clinical Practice Guidelines","volume":"166","author":"Isselbacher","year":"2023","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"3","key":"10.1016\/j.sipas.2025.100311_bib0012","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1016\/j.athoracsur.2019.10.005","article-title":"Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) Reporting Standards for Type B Aortic Dissections","volume":"109","author":"Lombardi","year":"2020","journal-title":"Ann Thorac Surg"},{"issue":"17","key":"10.1016\/j.sipas.2025.100311_bib0013","doi-asserted-by":"crossref","first-page":"1846","DOI":"10.1161\/CIRCULATIONAHA.117.031264","article-title":"Insights From the International Registry of Acute Aortic Dissection: a 20-Year Experience of Collaborative Clinical Research","volume":"137","author":"Evangelista","year":"2018","journal-title":"Circulation"},{"issue":"4","key":"10.1016\/j.sipas.2025.100311_bib0014","doi-asserted-by":"crossref","first-page":"346","DOI":"10.21037\/acs.2016.05.10","article-title":"IRAD experience on surgical type A acute dissection patients: results and predictors of mortality","volume":"5","author":"Berretta","year":"2016","journal-title":"Ann Cardiothorac Surg"},{"issue":"9","key":"10.1016\/j.sipas.2025.100311_bib0015","article-title":"Acute Aortic Dissection: Observational Lessons Learned From 11 000 Patients","volume":"17","author":"Bossone","year":"2024","journal-title":"Circulation: Cardiovascular Quality and Outcomes"},{"issue":"2","key":"10.1016\/j.sipas.2025.100311_bib0016","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J Biomed Inform"},{"issue":"2","key":"10.1016\/j.sipas.2025.100311_bib0017","doi-asserted-by":"crossref","first-page":"E212","DOI":"10.1532\/hsf.2913","article-title":"Comparison of Short and Mid-Term Mortality and Morbidity in Patients With Severe Aortic Stenosis (Intermediate\/High Risk) Who Underwent Transcatheter Aortic Valve Replacement and Surgical Aortic Valve Replacement","volume":"23","author":"Yesiltas","year":"2020","journal-title":"Heart Surg Forum"},{"issue":"1","key":"10.1016\/j.sipas.2025.100311_bib0018","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1186\/1749-8090-5-90","article-title":"Early and mid term mortality after coronary artery bypass grafting in women depends on the surgical protocol: retrospective analysis of 3441 on- and off-pump coronary artery bypass grafting procedures","volume":"5","author":"Eifert","year":"2010","journal-title":"J Cardiothorac Surg"},{"issue":"1","key":"10.1016\/j.sipas.2025.100311_bib0019","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1002\/ehf2.12376","article-title":"The effect of bromocriptine on left ventricular functional recovery in peripartum cardiomyopathy: insights from the BRO-HF retrospective cohort study","volume":"6","author":"Tremblay-Gravel","year":"2019","journal-title":"ESC Heart Fail"},{"key":"10.1016\/j.sipas.2025.100311_bib0020","first-page":"111","article-title":"New classification of physical status","volume":"24","author":"Dripps","year":"1963","journal-title":"Anesthesiology"},{"issue":"1","key":"10.1016\/j.sipas.2025.100311_bib0021","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1111\/tri.12895","article-title":"Five myths about variable selection","volume":"30","author":"Heinze","year":"2017","journal-title":"Transpl Int"},{"issue":"12","key":"10.1016\/j.sipas.2025.100311_bib0022","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1016\/j.ijsu.2014.07.013","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies","volume":"12","author":"Von Elm","year":"2014","journal-title":"International journal of surgery"},{"issue":"10100","key":"10.1016\/j.sipas.2025.100311_bib0023","doi-asserted-by":"crossref","first-page":"1084","DOI":"10.1016\/S0140-6736(17)31833-0","article-title":"Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970-2016: a systematic analysis for the Global Burden of Disease Study 2016","volume":"390","author":"Collaborators","year":"2017","journal-title":"Lancet"},{"key":"10.1016\/j.sipas.2025.100311_bib0024","article-title":"Sex-Based Aortic Dissection Outcomes From the International Registry of Acute Aortic Dissection","author":"Huckaby","year":"2021","journal-title":"Ann Thorac Surg"},{"issue":"26","key":"10.1016\/j.sipas.2025.100311_bib0025","doi-asserted-by":"crossref","first-page":"2430","DOI":"10.1093\/eurheartj\/ehaa446","article-title":"Sex differences and temporal trends in aortic dissection: a population-based study of incidence, treatment strategies, and outcome in Swedish patients during 15 years","volume":"41","author":"Smedberg","year":"2020","journal-title":"Eur Heart J"},{"issue":"9","key":"10.1016\/j.sipas.2025.100311_bib0026","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.1161\/CIRCULATIONAHA.118.035805","article-title":"Sex-Related Differences in Patients Undergoing Thoracic Aortic Surgery","volume":"139","author":"Chung","year":"2019","journal-title":"Circulation"},{"issue":"4","key":"10.1016\/j.sipas.2025.100311_bib0027","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1016\/j.jacc.2015.05.029","article-title":"Presentation, Diagnosis, and Outcomes of Acute Aortic Dissection: 17-Year Trends From the International Registry of Acute Aortic Dissection","volume":"66","author":"Pape","year":"2015","journal-title":"J Am Coll Cardiol"},{"issue":"1","key":"10.1016\/j.sipas.2025.100311_bib0028","doi-asserted-by":"crossref","first-page":"79","DOI":"10.15420\/ecr.2008.4.1.79","article-title":"Insights from the International Registry of Acute Aortic Dissection - What Have We Learned?","volume":"4","author":"Evangelista","year":"2008","journal-title":"Eur Cardiol"},{"issue":"18","key":"10.1016\/j.sipas.2025.100311_bib0029","doi-asserted-by":"crossref","first-page":"1911","DOI":"10.1161\/CIRCULATIONAHA.110.006320","article-title":"Correlates of delayed recognition and treatment of acute type A aortic dissection: the International Registry of Acute Aortic Dissection (IRAD)","volume":"124","author":"Harris","year":"2011","journal-title":"Circulation"},{"issue":"6","key":"10.1016\/j.sipas.2025.100311_bib0030","doi-asserted-by":"crossref","first-page":"1880","DOI":"10.1016\/j.athoracsur.2019.09.060","article-title":"Mortality in Australian Cardiothoracic Surgery: Findings From a National Audit","volume":"109","author":"Chan","year":"2020","journal-title":"Ann Thorac Surg"},{"issue":"6","key":"10.1016\/j.sipas.2025.100311_bib0031","doi-asserted-by":"crossref","first-page":"1801","DOI":"10.1016\/j.athoracsur.2019.04.116","article-title":"Nobody told me\": Communication Issues Affecting Australian Cardiothoracic Surgery Patients","volume":"108","author":"Chan","year":"2019","journal-title":"Ann Thorac Surg"},{"issue":"6","key":"10.1016\/j.sipas.2025.100311_bib0032","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1177\/0218492319854888","article-title":"Technical factors affecting cardiac surgical mortality in Australia","volume":"27","author":"Chan","year":"2019","journal-title":"Asian Cardiovascular and Thoracic Annals"}],"container-title":["Surgery in Practice and Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666262025000403?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666262025000403?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T04:52:47Z","timestamp":1765428767000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666262025000403"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":32,"alternative-id":["S2666262025000403"],"URL":"https:\/\/doi.org\/10.1016\/j.sipas.2025.100311","relation":{},"ISSN":["2666-2620"],"issn-type":[{"value":"2666-2620","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Factors affecting acute aortic dissection mortality: A multicentre cohort study","name":"articletitle","label":"Article Title"},{"value":"Surgery in Practice and Science","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.sipas.2025.100311","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"100311"}}