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Volume 19
Issue 19
10.3390/ijerph191912918
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Article
Peer-Review Record

Factors Related to Hospitalisation-Associated Disability in Patients after Surgery for Acute Type A Aortic Dissection: A Retrospective Study

Int. J. Environ. Res. Public Health 2022, 19(19), 12918; https://doi.org/10.3390/ijerph191912918
by Kotaro Hirakawa 1, Atsuko Nakayama 2,*, Masakazu Saitoh 3, Kentaro Hori 1, Tomoki Shimokawa 4, Tomohiro Iwakura 4, Go Haraguchi 5 and Mitsuaki Isobe 6
Reviewer 1:
Andreina Carbone
Reviewer 2:
Rajiv Doddamani
Int. J. Environ. Res. Public Health 2022, 19(19), 12918; https://doi.org/10.3390/ijerph191912918
Submission received: 19 August 2022 / Revised: 6 October 2022 / Accepted: 7 October 2022 / Published: 9 October 2022
(This article belongs to the Special Issue Advances in Cardiac Rehabilitation Research)

Round 1

Reviewer 1 Report

This is well-written original research about HAD after surgery for type A acute aortic dissection. 

For completeness, you should add the definition of acute aortic dissection and if you consider also the traumatic type A acute aortic dissection.

Furthermore, HAD is more present in females, but it is not emphasized in the discussion, although there is a lot of evidence for gender diversity in this pathology (es Bossone E, Carbone A, Eagle KA. Gender Differences in Acute Aortic Dissection. J Pers Med. 2022 Jul 15;12(7):1148. doi: 10.3390/jpm12071148).

Author Response

Please see the attachment

Author Response File: Author Response.docx

Reviewer 2 Report

Lines 27-28 - They are repetitive

Table 3 - p-values are missing for certain characteristics 

Lines 133-134 - You can clarify the statement to better reflect that BI scores saw a greater decline in categories of stair climbing, bathing and walking 

Line 167 - "than that had by the early-start walking group" - can be changed to "than early-start walking group" for easier readability 

Lines 182-183 - related to reference 1. It is controversial to say patients with HAD (hospital-associated disability) need strict blood pressure control. It should be the case with all patients irrespective of HAD or non-HAD

Lines 195-197 - Please revise the statement from a language standpoint. You have described factors of ATAAD as well as surgical complications in one sentence which can be confusing to readers. 

Line 221 - Incidence of HAD has been reported as low. Low when compared to what? If comparing to acute medical illness, I do not think it is an appropriate comparison. 

Line 238 - replace 'influenced' with 'explained' 

Author Response

Please see the attachment

Author Response File: Author Response.docx

Reviewer 3 Report

Dear Authors,

Please find attached your manuscript with my comments and edits. I provided suggestions to organize the content of the manuscript in order to allow a reader to follow the text much easier

Best regards,

 

Comments for author File: Comments.pdf

Author Response

Please see the attachment

Author Response File: Author Response.docx

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