Protocol for creation of a risk scoring system for acute type A aortic dissection surgery

Area of Science:

• Cardiovascular Surgery
• Thoracic Aortic Disease
• Surgical Risk Stratification

Background:

• Acute Stanford type A aortic dissection is a critical cardiovascular emergency with high mortality.
• Surgical intervention is the standard treatment, but clinical decisions regarding timing and prognosis remain debated.
• Accurate early risk assessment is crucial for optimizing patient outcomes.

Purpose of the Study:

• To establish a novel early mortality risk scoring system for patients undergoing surgical treatment for acute Stanford type A aortic dissection.
• To enhance the prediction of in-hospital mortality and guide perioperative management.

Main Methods:

• Retrospective collection of structured patient data for acute type A aortic dissection.
• Primary outcome defined as in-hospital mortality.
• Development of a risk scoring system, with planned prospective validation for accuracy and risk stratification.

Main Results:

• A risk scoring system was established based on collected patient data.
• The system is designed to predict early mortality in surgical patients.
• Prospective data will be used to validate the model's predictive performance.

Conclusions:

• The developed risk scoring system offers a tool for early mortality prediction in acute Stanford type A aortic dissection surgery.
• This system has the potential to aid clinicians in risk stratification and treatment planning.
• Further validation is essential to confirm its clinical utility and accuracy in operative risk prediction.