Cardiovascular Diseases & Diagnosis

Mimi Borrelli

Publications

• Research Article
  Is there a Volume-Outcomes Relationship for Patients Undergoing Surgical Management of Acute Stanford Type A Aortic Dissection?
  Author(s): Mimi Borrelli, Christopher Young and Rizwan AttiaMimi Borrelli, Christopher Young and Rizwan Attia
  
  Aim: To study the world literature on patients undergoing surgical repair of acute Stanford type A aortic dissection (ATAAD). We assessed if the volume or experience of the center or surgeon affects outcomes. Methods: Literature was reviewed using the OVID platform for Medline® and Pubmed from 1966-2017. 51 papers were identified of which 12 studies met the inclusion criteria and represented the highest level of evidence to answer the research question. Results: Retrospective cohort analysis of 1550 UK patients operated on by 249 surgeons using national audit data found low volume surgeons (LVS) had higher in-hospital mortality vs high volume surgeons (HVS) (19.3% vs 12.6%, P=0.015, OR: 0.853 CI: 0.733-0.992, P=0.039), but no relationship between mortality and center volume. Five large retrospect.. Read More»
  DOI: 10.4172/2329-9517.1000311

  Abstract PDF