Do the Frequency of Aortic Dissection Surgery and 30-day Survival Depend on the Day of the Week, Climate Parameters, or Moon Phase?

Andreas Boening; Marc Brühl; Christopher Büsch; Niklas Luther; Elena Xoplaki; Rawa Arif; Thilo Noack; Jochen Pöling; Martin Czerny; Jens Brickwedel; Sven Peterss; Tomas Holubec; Philipp Jawny; for the GERAADA Study Group

doi:10.1055/a-2547-5604

The Thoracic and Cardiovascular Surgeon, Inhaltsverzeichnis

Thorac Cardiovasc Surg
DOI: 10.1055/a-2547-5604

Original Cardiovascular

Do the Frequency of Aortic Dissection Surgery and 30-day Survival Depend on the Day of the Week, Climate Parameters, or Moon Phase?

Autoren

Andreas Boening

¹Department of Cardiovascular Surgery, Justus—Liebig-University Giessen, Giessen, Germany
Marc Brühl

¹Department of Cardiovascular Surgery, Justus—Liebig-University Giessen, Giessen, Germany
Christopher Büsch

²Institute of Medical Biometry, University of Heidelberg, Heidelberg, Germany
Niklas Luther

⁴Centre of International Development and Environmental Research, Justus Liebig University Giessen, Giessen, Germany
Elena Xoplaki

³Department of Geography, Climatology, Climate Dynamics and Climate Change, Justus Liebig University Giessen, Giessen, Germany

⁴Centre of International Development and Environmental Research, Justus Liebig University Giessen, Giessen, Germany
Rawa Arif

⁵Department of Cardiac Surgery, Heidelberg University, Heidelberg, Germany
Thilo Noack

⁶University Department of Cardiac Surgery, Leipzig Heart Center, Leipzig, Germany
Jochen Pöling

⁷Department of Cardiac Surgery, Schüchtermann-Klinik Bad Rothenfelde, Bad Rothenfelde, Germany
Martin Czerny

⁸Department of Cardiovascular Surgery, University Hospital Freiburg, Freiburg, Germany
Jens Brickwedel

⁹Department of Cardiovascular Surgery, University Heart & Vascular Center Hamburg UKE, Hamburg, Germany
Sven Peterss

¹⁰Department of Cardiac Surgery, LMU University Hospital Munich, Munich, Germany
Tomas Holubec

¹¹Department of Cardiovascular Surgery, University Hospital and Goethe University Frankfurt, Frankfurt/Main, Germany
Philipp Jawny

¹²Department of Cardiothoracic Surgery, University Hospital Augsburg, Augsburg, Germany

for the GERAADA Study Group

Abstract

Alle Artikel dieser Rubrik

Abstract

Background

The German Registry of Aortic Dissections Type A (GERAADA) is a large European registry documenting patients with type A aortic dissection who have undergone surgical repair. This analysis investigated a potential association between the incidence of type A dissections (AADA) and lunar cycles, day of the week, or weather conditions.

Methods

Data from 2,388 patients were analyzed for two endpoints: incidence of AADA surgery per day (analyzed using a Poisson regression to account for overdispersed data) and early mortality after surgery (analyzed using a logistic mixed regression to account for center heterogeneity). In both models, the influence of weather conditions (season, temperature, temperature difference, radiation, and synoptic conditions), moon phase, and weekday of operation was examined.

Results

The occurrence of AADA surgery was similar between weekdays (Monday to Friday), but less frequent on weekends. The 30-day mortality odds ratio was higher for surgeries performed on weekends than on weekdays. Operations were more frequent in winter than in other seasons. The occurrence of surgery or early mortality after surgery was not associated with synoptic weather conditions. Mean daily temperature and global radiation were not found to be different between survivors and patients with early deaths. No significant association was found between the moon phase and the occurrence or the outcome of surgery.

Conclusion

The occurrence of AADA surgery was higher during winter, with colder mean temperatures, and lower on weekends than on weekdays. Mortality after surgery on weekends was higher than after surgery on weekdays.

Keywords

acute aortic dissection type A - GERAADA - moon phases - weather - weekend

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Referenzen

References
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