Skip to main content
. 2021 Jul 25;2021(7):CD012920. doi: 10.1002/14651858.CD012920.pub2

1. Definition of outcome measures (Yan 2014).

Types of outcome measures Defined by Including
Primary outcomes
Mortality Dissection related and all causes (Grade V)
All deaths at 30 days and 12 months
Neurological deficit Global events (Grade I ‐ IV)
Postoperative agitation, delirium, obtundation, or myoclonic movements, without localised cerebral neurological signs
  Focal events (Grade I ‐ IV)
Lateralising sensory or motor deficit or focal seizure activity
  Spinal neurological events (Grade I ‐ IV)
Paraplegia, paraparesis
Cardiac injury Myocardial ischaemia (Grade I ‐ IV)
  Low cardiac output syndrome (Grade I ‐ IV)
  Arrhythmia (Grade I ‐ IV)
  Pericardial effusion (Grade I ‐ IV)
Respiratory compromise Parenchymal complications (Grade I ‐ IV)
Atelectasis, pneumonia, pulmonary oedema, and acute respiratory distress syndrome
  Pleural complications (Grade I ‐ IV)
Pneumothorax, pleural effusion
Renal ischaemia Modified RIFLE classification (Bellomo 2004):
Risk (I), Injury (II), Failure (III), Loss/End‐Stage Kidney Dysfunction (IV)
(Grade I ‐ IV)
Serum creatinine increase, glomerular filtration rate (GFR) decrease, anuria, haemodialysis
Secondary outcomes
False lumen thrombosis Partial or complete thrombosis
Mesenteric ischaemia Gut complications (Grade I ‐ IV)
Ileus or gastric paresis, gut ischaemia manifested as metabolic acidosis or increased lactate
Grades as defined by Yan 2014:
Grade I: any deviation from the normal postoperative course but self‐limiting or requiring simple therapeutic regimens (including antiemetics, antipyretics, analgesics, electrolytes, and physiotherapy);
Grade II: complications requiring pharmacological treatment for resolution;
Grade III: complications requiring surgical, endoscopic, or radiological intervention but not requiring regional or general anaesthesia or requiring interdisciplinary intervention;
Grade IV: complications requiring surgical, endoscopic, or radiological intervention under regional or general anaesthesia, or requiring new intensive care unit (ICU) admission or ongoing ICU management for > 7 days or hospitalisation for > 30 days, or causing secondary organ failure;
Grade V: death caused by a complication.