{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:41:07Z","timestamp":1740184867817,"version":"3.37.3"},"reference-count":18,"publisher":"Yeungnam University College of Medicine","issue":"4","license":[{"start":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T00:00:00Z","timestamp":1644451200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002447","name":"Catholic University of Daegu","doi-asserted-by":"publisher","award":["202015"],"award-info":[{"award-number":["202015"]}],"id":[{"id":"10.13039\/501100002447","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["e-jyms.org"],"crossmark-restriction":true},"short-container-title":["J Yeungnam Med Sci"],"published-print":{"date-parts":[[2022,10,31]]},"abstract":"<jats:p>Background: Medical therapy is the standard treatment for uncomplicated acute type B aortic dissection (ATBAD), but there is little evidence of the need for intensive care unit (ICU) management. Therefore, we aimed to investigate the effects of ICU treatment on uncomplicated ATBAD.Methods: We retrospectively studied patients with uncomplicated ATBAD who were medically treated between January 2010 and July 2020. Patients were divided into long-term ICU stay (LIS) and short-term ICU stay (SIS) groups, according to a 48-hour cutoff of ICU stay duration. The incidence of pneumonia and delirium, rate of aortic events, hospital mortality, and survival rate were compared.Results: Fifty-five patients were treated for uncomplicated ATBAD (n=26 for LIS and n=29 for SIS). The incidence of pneumonia (7.7% vs. 3.6%) and delirium (34.6% vs. 14.3%) was higher in the LIS group than in the SIS group, but the differences were not statistically significant. The survival rates at 1, 3, and 5 years were not different between the two groups (LIS: 96.2%, 88.0%, and 54.2% vs. SIS: 96.4%, 92.2%, and 75.5%, respectively; p=0.102). Multivariate Cox regression analysis for aortic events showed that using a calcium channel blocker lowered the risk of aortic events.Conclusion: Long-term ICU treatment is unlikely to be necessary for the treatment of uncomplicated ATBAD. Active use of antihypertensive agents, such as calcium channel blockers, may be needed during the follow-up period.<\/jats:p>","DOI":"10.12701\/jyms.2021.01690","type":"journal-article","created":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T05:05:07Z","timestamp":1644469507000},"page":"294-299","update-policy":"https:\/\/doi.org\/10.12701\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intensive care unit management of uncomplicated type B aortic dissection in relation to treatment period: a retrospective observational study"],"prefix":"10.12701","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9139-0619","authenticated-orcid":true,"given":"Chul Ho","family":"Lee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0693-8863","authenticated-orcid":true,"given":"Jae Seok","family":"Jang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0786-9775","authenticated-orcid":true,"given":"Jun Woo","family":"Cho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4953","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.109.886408"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.12.008"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu281"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-001-1132-2"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-013-0991-1"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2006.09.001"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1253\/circj.cj-08-0319"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2006.09.009"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.09.077"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-003-1950-5"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/00132586-200010000-00007"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/s0002-9149(99)00101-0"},{"key":"ref13","first-page":"123","volume-title":"A prospectus on the prevention of aortic rupture in the Marfan syndrome with data on survivorship without treatment","author":"Halpern","year":"1971"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(94)90762-5"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1056\/nejm199405123301902"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-5223(19)33192-7"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/s1010-7940(01)00662-5"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.05.040"}],"container-title":["Journal of Yeungnam Medical Science"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-jyms.org\/upload\/pdf\/jyms-2021-01690.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-jyms.org\/journal\/view.php?doi=10.12701\/jyms.2021.01690","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-jyms.org\/upload\/pdf\/jyms-2021-01690.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T09:22:21Z","timestamp":1664443341000},"score":1,"resource":{"primary":{"URL":"http:\/\/e-jyms.org\/journal\/view.php?doi=10.12701\/jyms.2021.01690"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,31]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,10]]}},"URL":"https:\/\/doi.org\/10.12701\/jyms.2021.01690","relation":{},"ISSN":["2799-8010"],"issn-type":[{"type":"electronic","value":"2799-8010"}],"subject":[],"published":{"date-parts":[[2022,10,31]]},"assertion":[{"value":"2021-12-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-10","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-31","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}