{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T09:03:14Z","timestamp":1784883794488,"version":"3.55.0"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2025,2,18]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Our aim was to report the functional outcome of Stanford type A aortic dissection (TAAD) after 1\u2009year as well as morbidity and mortality.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              This is a retrospective analysis including 642 patients with TAAD from January 2005 to December 2021. Mean age at TAAD was 62\u2009years (95% CI, 61\u201363), and 30% of the population were women. One year after surgery for TAAD, 75% of patients were living at home with New York Heart Association functional class I. No patients were observed with New York Heart Association functional class IV. Less than 2% resided in an assisted\u2010living facility. Eighty\u2010five percent of nonretired patients had returned to work. Two hundred twelve (33%) patients were retired after 1\u2009year at a mean age of 73\u2009years (95% CI, 72\u201374). Stroke (defined as any kind of neurological symptoms) occurred in 148 (23%) patients and was the cause of death in 33 patients. Of the remaining patients with stroke, 115 (30%) had no residual limitations 1\u2009year after TAAD. The cross\u2010clamp time was significantly higher in patients with stroke (98\u2009minutes [95% CI, 94.0\u2013101.1] in patients without stroke versus 106\u2009minutes [95% CI, 98.5\u2013114.1] in patients with stroke;\n              <jats:italic>P<\/jats:italic>\n              =0.026). Sixty\u2010nine percent of patients with stroke lived at home, 28% lived at home with support, and 3% lived in an assisted\u2010living facility. One year after stroke, 77% of the patients achieved a modified Rankin Scale score \u22642, whereas no patient had a modified Rankin Scale score of 5. There was no significant correlation between sex and recovery rate (\n              <jats:italic>P<\/jats:italic>\n              =0.48). However, experiencing a stroke significantly increased the likelihood of residing in an assisted\u2010living facility or receiving support at home 1\u2009year after TAAD (odds ratio, 9.46 [95% CI, 5.06\u201317.70];\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001). Thirty\u2010day mortality was 11.8%, and 92 patients (14%) died within the first year after TAAD. There was no significant sex difference in mortality (\n              <jats:italic>P<\/jats:italic>\n              =0.101).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">One year after surgery for Stanford acute type A aortic dissection, almost 3 out of 4 patients lived unassisted at home. Stroke survivors have a favorable outcome, with the majority having mild or no residual neurological deficits at 1\u2009year.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.124.036495","type":"journal-article","created":{"date-parts":[[2025,2,8]],"date-time":"2025-02-08T10:34:21Z","timestamp":1739010861000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["One\u2010Year Functional Outcome of Patients After Surgery for Acute Stanford Type A\u00a0Aortic Dissection"],"prefix":"10.1161","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7371-6892","authenticated-orcid":false,"given":"Murat","family":"Yildiz","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Inselspital Bern University Hospital Bern Bern 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