{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T15:40:08Z","timestamp":1751384408547,"version":"3.41.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,5,25]],"date-time":"2025-05-25T00:00:00Z","timestamp":1748131200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,25]],"date-time":"2025-05-25T00:00:00Z","timestamp":1748131200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Med Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>In recent years, most studies on symptom characteristics in patients undergoing cardiac surgery have focused on the preoperative and postoperative phases. Relatively little knowledge is available related to the post-discharge phase. In this context, this paper aimed to analyze the symptoms and needs of patients with acute type A aortic dissection (AAAD) during the post-discharge phase.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We recruited and studied patients who underwent acute type A aortic dissection surgery at Fujian Heart Medical Center from June 2022 to August 2023. At 3\u00a0months following the surgery, these subjects were investigated using the general information questionnaire and relevant symptom assessment scales, including the Mini-Mental State Examination Scale (MMSE), Athens Insomnia Scale (AIS), Hospital Anxiety and Depression Scale (HADS), and Fatigue Severity Scale (FSS). Meanwhile, grip strength and average step per day were measured for the exercise endurance assessment. A latent class analysis (LCA) based on the symptoms was performed, and differences in demographic and disease characteristics among different subgroups of patients were identified and compared using multivariate logistic regression.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>A total of 228 patients were enrolled and categorized into three latent classes: fatigue\u2013sleep disturbance (44.3%), anxiety\u2013locomotion decline (16.9%), and high symptom groups (38.8%). Results showed that patients with cardiopulmonary bypass time\u2009&gt;\u2009200\u00a0min, higher BMI, or decreased grip strength were more likely to be classified as the high symptom group and those were unemployment status have a higher possibility of being defined as the anxiety\u2013locomotion decline group.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>The symptom characteristics in patients with AAAD during the postoperative rehabilitation phrase exhibit heterogeneity. It is suggested that Clinical healthcare personnel improve the identification of symptoms in high-risk patients, particularly patients cardiopulmonary bypass time\u2009&gt;\u2009200\u00a0min, overweight or obese, unemployed status or decreased grip strength, relevant nursing interventions should be carried out to prevent the occurrence of surgical stress and complications in patients with AAAD early to improve the quality of life of patients.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s40001-025-02495-6","type":"journal-article","created":{"date-parts":[[2025,5,25]],"date-time":"2025-05-25T13:43:55Z","timestamp":1748180635000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Symptom characteristics in patients undergoing acute type A aortic dissection surgery post-discharge phase: a prospective observational study"],"prefix":"10.1186","volume":"30","author":[{"given":"Jianlong","family":"Lin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sailan","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanchun","family":"Peng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaqin","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liangwan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanjuan","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,5,25]]},"reference":[{"key":"2495_CR1","volume":"17","author":"X Tang","year":"2021","unstructured":"Tang X, Lu K, Liu X, et al. Incidence and survival of aortic dissection in urban China: results from the National Insurance Claims for Epidemiological Research (NICER) Study. Lancet Reg Health West Pac. 2021;17: 100280.","journal-title":"Lancet Reg Health West Pac"},{"issue":"5","key":"2495_CR2","doi-asserted-by":"publisher","first-page":"e115","DOI":"10.1093\/ejcts\/ezs412","volume":"42","author":"PL Haldenwang","year":"2012","unstructured":"Haldenwang PL, Wahlers T, Himmels A, et al. Evaluation of risk factors for transient neurological dysfunction and adverse outcome after repair of acute type A aortic dissection in 122 consecutive patients. Eur J Cardiothorac Surg. 2012;42(5):e115\u201320.","journal-title":"Eur J Cardiothorac Surg"},{"issue":"8","key":"2495_CR3","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.118.004689","volume":"11","author":"RR DeMartino","year":"2018","unstructured":"DeMartino RR, Sen I, Huang Y, et al. Population-based assessment of the incidence of aortic dissection, intramural hematoma, and penetrating ulcer, and its associated mortality from 1995 to 2015. Circ Cardiovasc Qual Outcomes. 2018;11(8): e004689.","journal-title":"Circ Cardiovasc Qual Outcomes"},{"issue":"2","key":"2495_CR4","doi-asserted-by":"publisher","first-page":"709","DOI":"10.1016\/j.jvs.2021.08.080","volume":"75","author":"E Gouveia","year":"2022","unstructured":"Gouveia E, Melo R, Mour\u00e3o M, Caldeira D, et al. A systematic review and meta-analysis of the incidence of acute aortic dissections in population-based studies. J Vasc Surg. 2022;75(2):709\u201320.","journal-title":"J Vasc Surg"},{"issue":"6","key":"2495_CR5","doi-asserted-by":"publisher","first-page":"2011","DOI":"10.21037\/jtd-21-1863","volume":"14","author":"M Morjan","year":"2022","unstructured":"Morjan M, Mestres CA, Lavanchy I, et al. The impact of age and sex on in-hospital outcomes in acute type A aortic dissection surgery. J Thorac Dis. 2022;14(6):2011\u201321.","journal-title":"J Thorac Dis"},{"key":"2495_CR6","unstructured":"(SIGN) SIGN. Scottish Intercollegiate Guidelines Network (SIGN). Cardiac rehabilitation. 2017; http:\/\/www.sign.ac.uk. Accessed 05 2017."},{"issue":"1","key":"2495_CR7","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1188\/20.ONF.89-100","volume":"47","author":"L Lee","year":"2020","unstructured":"Lee L, Ross A, Griffith K, Jensen RE, Wallen GR. Symptom clusters in breast cancer survivors: a latent class profile analysis. Oncol Nurs Forum. 2020;47(1):89\u2013100.","journal-title":"Oncol Nurs Forum"},{"issue":"41","key":"2495_CR8","doi-asserted-by":"publisher","first-page":"2873","DOI":"10.1093\/eurheartj\/ehu281","volume":"35","author":"R Erbel","year":"2014","unstructured":"Erbel R, Aboyans V, Boileau C, et al. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases. Eur Heart J. 2014;35(41):2873\u2013926.","journal-title":"Eur Heart J"},{"issue":"3","key":"2495_CR9","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/0022-3956(75)90026-6","volume":"12","author":"MF Folstein","year":"1975","unstructured":"Folstein MF, Folstein SE, McHugh PR. Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189\u201398.","journal-title":"J Psychiatr Res"},{"issue":"2022","key":"2495_CR10","first-page":"2124636","volume":"18","author":"L Liu","year":"2022","unstructured":"Liu L, Yang Y. Nutritional management mode of early cardiac rehabilitation in patients with stanford type A aortic dissection. Comput Math Methods Med. 2022;18(2022):2124636.","journal-title":"Comput Math Methods Med"},{"issue":"6","key":"2495_CR11","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1016\/S0022-3999(00)00095-7","volume":"48","author":"CR Soldatos","year":"2000","unstructured":"Soldatos CR, Dikeos DG, Paparrigopoulos TJ. Athens Insomnia Scale: validation of an instrument based on ICD-10 criteria. J Psychosom Res. 2000;48(6):555\u201360.","journal-title":"J Psychosom Res"},{"issue":"6","key":"2495_CR12","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","volume":"67","author":"AS Zigmond","year":"1983","unstructured":"Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361\u201370.","journal-title":"Acta Psychiatr Scand"},{"issue":"9","key":"2495_CR13","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.1111\/ijd.15341","volume":"60","author":"MO Machado","year":"2021","unstructured":"Machado MO, Kang NC, Tai F, et al. Measuring fatigue: a meta-review. Int J Dermatol. 2021;60(9):1053\u201369.","journal-title":"Int J Dermatol"},{"issue":"16","key":"2495_CR14","first-page":"137","volume":"16","author":"SN Aldanyowi","year":"2024","unstructured":"Aldanyowi SN, AlOraini LI. Personalizing injury management and recovery: a cross-sectional investigation of musculoskeletal injuries and quality of life in athletes. Orthop Res Rev. 2024;16(16):137\u201351.","journal-title":"Orthop Res Rev"},{"issue":"11","key":"2495_CR15","doi-asserted-by":"publisher","first-page":"6618","DOI":"10.21037\/jtd-20-2336","volume":"12","author":"Z Wang","year":"2020","unstructured":"Wang Z, Ge M, Chen T, et al. Impact of hypertension on short- and long-term survival of patients who underwent emergency surgery for type A acute aortic dissection. J Thorac Dis. 2020;12(11):6618\u201328.","journal-title":"J Thorac Dis"},{"issue":"3","key":"2495_CR16","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1007\/s12282-022-01347-z","volume":"29","author":"S Ficarra","year":"2022","unstructured":"Ficarra S, Thomas E, Bianco A, et al. Impact of exercise interventions on physical fitness in breast cancer patients and survivors: a systematic review. Breast Cancer. 2022;29(3):402\u201318.","journal-title":"Breast Cancer"},{"issue":"1","key":"2495_CR17","doi-asserted-by":"publisher","first-page":"449","DOI":"10.1186\/s13018-023-03881-8","volume":"18","author":"Z Yan","year":"2023","unstructured":"Yan Z, Wu Y, Liu M, et al. IHeterogeneous trajectories of kinesiophobia and their effects on rehabilitation outcomes after total knee arthroplasty: a prospective cohort study. J Orthop Surg Res. 2023;18(1):449.","journal-title":"J Orthop Surg Res"},{"issue":"11","key":"2495_CR18","doi-asserted-by":"publisher","first-page":"1725","DOI":"10.1016\/j.hlc.2020.02.008","volume":"29","author":"Y Li","year":"2020","unstructured":"Li Y, Jiang H, Xu H, et al. Impact of a higher body mass index on prolonged intubation in patients undergoing surgery for acute thoracic aortic dissection. Heart Lung Circ. 2020;29(11):1725\u201332.","journal-title":"Heart Lung Circ"}],"container-title":["European Journal of Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40001-025-02495-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40001-025-02495-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40001-025-02495-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T15:05:25Z","timestamp":1751382325000},"score":1,"resource":{"primary":{"URL":"https:\/\/eurjmedres.biomedcentral.com\/articles\/10.1186\/s40001-025-02495-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,25]]},"references-count":18,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["2495"],"URL":"https:\/\/doi.org\/10.1186\/s40001-025-02495-6","relation":{},"ISSN":["2047-783X"],"issn-type":[{"type":"electronic","value":"2047-783X"}],"subject":[],"published":{"date-parts":[[2025,5,25]]},"assertion":[{"value":"17 September 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 March 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 May 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 July 2025","order":4,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Update","order":5,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Funding has been updated.","order":6,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The design and procedures of the study were performed in accordance with the principles of the Declaration of Helsinki. The study was approved by the Hospital Ethics Committee (No. 2023KY077). Written informed consent was obtained from all participants.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}],"article-number":"416"}}