Hot off the press, the Collaborative Acute Aortic Syndrome Project in now available, Open access, in BJS Open
Coordinated by VERN and the UK National Interventional Radiology Trainee Research collaborative, this multicentre study evaluated Acute Aortic Syndrome (AAS) care pathways across 15 UK sites, analysing the critical timelines from symptom onset to treatment in 620 patients.
🩺 What you need to know:
This study aimed to evaluate current pathways and understand chronology of AAS patient care, tracking mortality rates at 30 days and 6 months.
⏱ Key Timelines:
Time to hospital presentation: 3.1 hrs (faster with sudden chest pain, delayed with migratory pain & hypertension).
Time to imaging diagnosis: 3.2 hrs (faster with limb ischaemia, slower with family history of aortic disease).
Time to treatment: 2 hrs (significantly delayed by interhospital transfers).
🔑 Key Findings:
Delays in diagnosis are common in patients with migratory pain or hypertension.
Hospital transfers and non-emergency presentations lead to treatment delays.
Mortality predictors: Age over 70, complicated AAS, and lack of critical care admission increase mortality risk.
Healthcare disparities: Patients from lower socioeconomic backgrounds, though closer to hospitals, didn’t present sooner—highlighting healthcare inequalities.
🏥 Conclusion: This data provides a crucial understanding of where delays occur in the AAS care pathway and can be used to prioritise research strategies to streamline patient care
A remarkable collaboration between Vascular Surgery and Interventional Radiology, working together to improve outcomes for Acute Aortic Syndrome patients and pave the way for future groundbreaking research projects.
Aminder Singh, Sandip Nandhra, Jim Zhong, Nawaz Safdar, Ganesh Vigneswaran
Evaluating current acute aortic syndrome pathways: Collaborative Acute Aortic Syndrome Project (CAASP)
➡️https://lnkd.in/d2hitgfU
The Collaborative Acute Aortic Syndrome Project is a multicentre UK service evaluation presenting a longitudinal data set linking time-based delays to diagnosis and treatment with clinical outcomes.
👏👏👏Jim Zhong, Aminder Singh, Nawaz Safdar, Sandip Nandhra, Ganesh Vigneswaran, CAASP Collaborators
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