The Anzhen Risk Scoring System for Acute Type A Aortic Dissection: A Prospective Observational Study Protocol

Introduction: Acute type A aortic dissection (ATAAD) is a catastrophic disease with fatal outcomes. Malperfusion syndrome (MPS) is a serious complication of ATAAD, with an incidence of 20–40%. Many studies have shown that MPS is the main risk factor for poor ATAAD prognosis. However, a risk scoring...

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Main Authors: Bo Jia, Cheng Luo, Chengnan Li, Yipeng Ge, Yongliang Zhong, Zhiyu Qiao, Haiou Hu, Suwei Chen, Junming Zhu
Format: Article
Language:English
Published: Compuscript Ltd 2023-01-01
Series:Cardiovascular Innovations and Applications
Online Access:https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2023.0002
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author Bo Jia
Cheng Luo
Chengnan Li
Yipeng Ge
Yongliang Zhong
Zhiyu Qiao
Haiou Hu
Suwei Chen
Junming Zhu
author_facet Bo Jia
Cheng Luo
Chengnan Li
Yipeng Ge
Yongliang Zhong
Zhiyu Qiao
Haiou Hu
Suwei Chen
Junming Zhu
author_sort Bo Jia
collection DOAJ
description Introduction: Acute type A aortic dissection (ATAAD) is a catastrophic disease with fatal outcomes. Malperfusion syndrome (MPS) is a serious complication of ATAAD, with an incidence of 20–40%. Many studies have shown that MPS is the main risk factor for poor ATAAD prognosis. However, a risk scoring system for ATAAD based on MPS is lacking. Here, we designed a risk scoring system for ATAAD to assess mortality through quantitative assessment of relevant organ malperfusion and subsequently develop rational treatment strategies. Methods and analysis: This was a prospective observational study. Patients’ perioperative clinical data were collected to establish a database of ATAAD (N≥3000) and determine whether these patients had malperfusion complications. The Anzhen risk scoring system was established on the basis of organ malperfusion by using a random forest survival model and a logistics model. The better method was then chosen to establish a revised risk scoring system. Ethics and dissemination: This study received ethical approval from the Ethics Committees of Beijing Anzhen Hospital, Capital Medical University (KS2019034-1). Patient consent was waived because biological samples were not collected, and no patient rights were violated. Findings will be disseminated at scientific conferences and in peer-reviewed publications.
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spelling doaj.art-0e0d0e89e6164d138a15168a0ebf2bb52023-11-25T17:00:43ZengCompuscript LtdCardiovascular Innovations and Applications2009-86182009-87822023-01-017198210.15212/CVIA.2023.0002The Anzhen Risk Scoring System for Acute Type A Aortic Dissection: A Prospective Observational Study ProtocolBo JiaCheng LuoChengnan LiYipeng GeYongliang ZhongZhiyu QiaoHaiou HuSuwei ChenJunming ZhuIntroduction: Acute type A aortic dissection (ATAAD) is a catastrophic disease with fatal outcomes. Malperfusion syndrome (MPS) is a serious complication of ATAAD, with an incidence of 20–40%. Many studies have shown that MPS is the main risk factor for poor ATAAD prognosis. However, a risk scoring system for ATAAD based on MPS is lacking. Here, we designed a risk scoring system for ATAAD to assess mortality through quantitative assessment of relevant organ malperfusion and subsequently develop rational treatment strategies. Methods and analysis: This was a prospective observational study. Patients’ perioperative clinical data were collected to establish a database of ATAAD (N≥3000) and determine whether these patients had malperfusion complications. The Anzhen risk scoring system was established on the basis of organ malperfusion by using a random forest survival model and a logistics model. The better method was then chosen to establish a revised risk scoring system. Ethics and dissemination: This study received ethical approval from the Ethics Committees of Beijing Anzhen Hospital, Capital Medical University (KS2019034-1). Patient consent was waived because biological samples were not collected, and no patient rights were violated. Findings will be disseminated at scientific conferences and in peer-reviewed publications.https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2023.0002
spellingShingle Bo Jia
Cheng Luo
Chengnan Li
Yipeng Ge
Yongliang Zhong
Zhiyu Qiao
Haiou Hu
Suwei Chen
Junming Zhu
The Anzhen Risk Scoring System for Acute Type A Aortic Dissection: A Prospective Observational Study Protocol
Cardiovascular Innovations and Applications
title The Anzhen Risk Scoring System for Acute Type A Aortic Dissection: A Prospective Observational Study Protocol
title_full The Anzhen Risk Scoring System for Acute Type A Aortic Dissection: A Prospective Observational Study Protocol
title_fullStr The Anzhen Risk Scoring System for Acute Type A Aortic Dissection: A Prospective Observational Study Protocol
title_full_unstemmed The Anzhen Risk Scoring System for Acute Type A Aortic Dissection: A Prospective Observational Study Protocol
title_short The Anzhen Risk Scoring System for Acute Type A Aortic Dissection: A Prospective Observational Study Protocol
title_sort anzhen risk scoring system for acute type a aortic dissection a prospective observational study protocol
url https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2023.0002
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