{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T12:38:13Z","timestamp":1780922293272,"version":"3.54.1"},"reference-count":23,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T00:00:00Z","timestamp":1700006400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The purposes of this study were to develop and validate a nomogram for predicting postoperative transient neurological dysfunctions (TND) in patients with acute type A aortic dissection (AAAD) who underwent modified triple\u2010branched stent graft implantation. This retrospective study developed a nomogram\u2010based model in a consecutive cohort of 146 patients. Patient characteristics, preoperative clinical indices, and operative data were analyzed. Univariate and multivariable analyses were applied to identify the most useful predictive variables for constructing the nomogram. Discrimination and the calibration\u00a0of the model was evaluated through the receiver operating characteristic curve (ROC), the Hosmer\u2013Lemeshow goodness\u2010of\u2010fit test and the decision curve analysis (DCA). At the same time, to identify and compare long\u2010term cumulative survival rate, Kaplan\u2010Meier survival curve was plotted. The incidence rate of postoperative TND observed in our cohort were 40.9%. Supra\u2010aortic dissection with or without thrombosis, creatinine &gt;115\u00a0\u03bcmol and albumin &lt;39.7\u00a0g\/L, selective antegrade cerebral perfusion (SACP) time &gt;7\u00a0min and total operation time &gt;303\u00a0min, were confirmed as independent predictors that enhanced the likelihood of TND. Internal validation showed good discrimination of the model with under the ROC curve (AUC) of 0.818 and good calibration (Hosmer\u2013Lemeshow test, <jats:italic>p<\/jats:italic>\u00a0&gt;\u00a0.05). DCA revealed that the nomogram was clinically useful. In the long\u2010term survival there was no significant difference between patients with or without TND history. The results showed the predict model based on readily available predictors has sufficient validity to identify TND risk in this population, that maybe useful for clinical decision\u2010making.<\/jats:p>","DOI":"10.1111\/jch.14744","type":"journal-article","created":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T21:01:02Z","timestamp":1700082062000},"page":"1193-1201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A nomogram\u2010based model to predict postoperative transient neurological dysfunctions in patients receiving acute type A aortic dissection surgery"],"prefix":"10.1111","volume":"25","author":[{"given":"Xin\u2010fan","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery Fujian Medical University Union Hospital  Fuzhou Fujian PR 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