Interfacility Transfer of Medicare Beneficiaries With Acute Type A Aortic Dissection and Regionalization of Care in the United States | Zendy

Andrew B. Goldstone | Zendy; Peter Chiu | Zendy; Michael Baiocchi | Zendy; Bharathi Lingala | Zendy; Justin Lee | Zendy; Joseph Rigdon | Zendy; Michael P. Fischbein | Zendy; Y. Joseph Woo | Zendy

Open Access

Interfacility Transfer of Medicare Beneficiaries With Acute Type A Aortic Dissection and Regionalization of Care in the United States

Author(s) -

Andrew B. Goldstone,

Peter Chiu,

Michael Baiocchi,

Bharathi Lingala,

Justin Lee,

Joseph Rigdon,

Michael P. Fischbein,

Y. Joseph Woo

Publication year - 2019

Publication title -

circulation

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 7.795

H-Index - 607

eISSN - 1524-4539

pISSN - 0009-7322

DOI - 10.1161/circulationaha.118.038867

Subject(s) - medicine , aortic dissection , emergency medicine , medical emergency , cardiology , intensive care medicine , aorta

The feasibility and effectiveness of delaying surgery to transfer patients with acute type A aortic dissection-a catastrophic disease that requires prompt intervention-to higher-volume aortic surgery hospitals is unknown. We investigated the hypothesis that regionalizing care at high-volume hospitals for acute type A aortic dissections will lower mortality. We further decomposed this hypothesis into subparts, investigating the isolated effect of transfer and the isolated effect of receiving care at a high-volume versus a low-volume facility.

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