{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T22:14:18Z","timestamp":1770243258022,"version":"3.49.0"},"reference-count":17,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Acute aortic dissection (AD) is a surgical emergency with significant mortality without prompt diagnosis and operative intervention. The management is time critical, and regional Australia represents an area of interest owing to its large distances and often paucity of resources. No previous studies examining Type\u2010A AD in regional Australia have been done. The aim of this study is to describe acute Type\u2010A AD within a regional population of Australia. The primary outcomes were incidence and mortality. The secondary outcomes were assessment of risk factors, challenges in diagnosis, and associated complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective analysis was undertaken in the Hunter New England (HNE) health district of New South Wales (NSW) from 2010 to 2020. A total of 122 patients with an ICD\u201010 diagnosis of Type\u2010A AD were included in the study. The data was analysed using the statistical package for the social sciences (SPSS). Odds ratio and 95% confidence interval (CI) were reported, and statistical significance was assumed at\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The incidence of Type\u2010A AD in the HNE was 1.27 per 100\u2009000 and overall mortality was 14.5%. Five percent of patients identified as Aboriginal and Torres Strait Islander. Combined risk factors of smoking and hypertension, postoperative CVA, and misdiagnosis demonstrated higher mortality which was statistically significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study is the first study to illustrate Type\u2010A AD in regional Australia. The findings reported here present a solid foundation for future studies to better understand the challenges faced in the diagnosis and management of AD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70181","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T06:56:17Z","timestamp":1748588177000},"page":"1129-1134","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute Type\u2010A Aortic Dissection in Hunter New England\u2014A 10\u2010Year Regional Australian Experience"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1901-4675","authenticated-orcid":false,"given":"Ayesh","family":"Rathnayake","sequence":"first","affiliation":[{"name":"Cardiothoracic Surgery John Hunter Hospital  New Lambton Height New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Apoorva","family":"Saboo","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery John Hunter Hospital  New Lambton Height New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivia","family":"Chang","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery John Hunter Hospital  New Lambton Height New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuya","family":"Narita","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery John Hunter Hospital  New Lambton Height New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosauro","family":"Mejia","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery John Hunter Hospital  New Lambton Height New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.13472"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182902cca"},{"key":"e_1_2_14_4_1","first-page":"114","volume-title":"A Multi\u2010Method Approach Towards Understanding the Pathophysiology of Aortic Dissections \u2013 The Complementary Role of In\u2010Silico,In\u2010Vitro and In\u2010Vivo Information. Statistical Atlases and Computational Models of the Heart","author":"Rudenick P.","year":"2010"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/heart.85.4.365"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0002\u20109149(00)01049\u20103"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/RTI.0000000000000155"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13244\u2010012\u20100195\u20107"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sult.2012.01.003"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109149(84)90418\u20101"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semtcvs.2014.07.003"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.12945\/j.aorta.2015.15.016"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540\u20108191.1994.tb00907.x"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2010.11.045"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.4065\/79.2.176"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0002\u20109149(02)02198\u20107"},{"key":"e_1_2_14_17_1","first-page":"94","article-title":"Winnunga Nimmityjah Aboriginal Health Service 1988\u20132014: Breaking Barriers in Aboriginal Research and Services","volume":"2","author":"Tongs J.","year":"2014","journal-title":"Australian Aboriginal Studies"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.200021"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70181","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.70181","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70181","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T09:07:42Z","timestamp":1770196062000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.70181"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,30]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1111\/ans.70181"],"URL":"https:\/\/doi.org\/10.1111\/ans.70181","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,30]]},"assertion":[{"value":"2022-11-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}