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. |