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Table 5 Quality indicators for AAD

From: Quality indicators for acute cardiovascular diseases: a scoping review

Quality indicator

Clinical setting

Donabedian framework

Definition of quality indicator (representative)

Number of publications [reference]

Aortic dissection team

–

Structure

Presence of a dedicated institutional aortic dissection team

1 [33]

Emergency center

–

Structure

Designation of emergency center

1 [34]

Annual volume (open surgery or TEVAR)

–

Structure

Number of operations (open surgery or TEVER) per hospital or per surgeon

2 [33, 34]

No. of cardiovascular surgeons/cardiologists

–

Structure

Number of cardiovascular surgeons/board-certified cardiologists

1 [34]

Emergency computed tomography

Acute setting

Process

Patients who underwent emergency CT/AAD patients

1 [34]

Time to diagnosis/operation room

Acute setting

Process

Time from presentation to diagnosis/time from diagnosis to operation room

1 [33]

Use of hypothermic circulatory arrest

Acute setting

Process

Use of cardiopulmonary bypass technique involving cooling, stopping blood circulation, and antegrade brain perfusion

1 [33]

Intraoperative TEE

Acute setting

Process

Patients who underwent intraoperative TEE/AAD patients who underwent operative treatment

1 [34]

Blood pressure control by arterial line

Acute setting

Process

Patients who underwent arterial line/AAD patients

1 [34]

Beta-blocker use

Acute setting

Process

Beta-blocker use/AAD patients

1 [34]

1- year follow-up imaging

Chronic setting

Process

Number of performed CT/MRI studies with contrast /AAD patients

1 [33]

Short and long-term mortality/stroke/re-intervention

–

Outcome

Risk-adjusted 30-day or 1-year mortality/30-day stroke/1-year re-intervention following repair of type A AAD

1 [33]

  1. TEVAR thoracic endovascular aortic repair, CT computed tomography, AAD acute aortic dissection, TEE transesophageal echocardiography, MRI magnetic resonance imaging