Chronobiology of acute aortic rupture or dissection: A systematic review and a meta-analysis of the literature
Chronobiology of acute aortic rupture or dissection: A systematic review and a meta-analysis of the literature
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DOI：
10.3109/07420528.2014.983604
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发表时间：
2015-04-01
影响因子：
2.8
通讯作者：
Dentali, Francesco
中科院分区：
文献类型：
--
作者：
Vitale, Jose;Manfredini, Roberto;Dentali, Francesco
Objectives: Identification and quantification higher risk incidence of aortic rupture or dissection (AARD) could be of clinical interest and improve preventive strategies.Background: Several studies and subsequent meta-analyses have shown chronobiologic variations in the timing of occurrence of myocardial infarction, stroke, and pulmonary embolism. Conversely, such evidences are currently lacking for AARD despite a number of studies available dealing with periodicity.Methods: MEDLINE, EMBASE, and Google Scholar databases were searched up to July 2013. Temporal variation in the incidence of AARD was analyzed including all studies analyzing seasonal, monthly, weekly, and circadian aggregations. Two authors independently reviewed and extracted data.Results: Forty-two studies for a total of more than 80 000 patients were included. Our results showed a significantly increased incidence of AARD in Winter (Chi-square 854.92, p
