Around 20% of patients with acute aortic dissection die before reaching any hospital and 50% die before reaching a specialist centre, according to an investigation by the Healthcare Safety Investigation Branch.1
The report on delayed recognition of acute aortic dissection analysed hospital activity and other national datasets, and found that it may occur in around 4.5 per 100 000 of the population per year, equal to around 2500 cases per year in England.
It showed that a delay in diagnosis occurs in around 16-40% of cases and is more likely if patients walk in to the hospital or if doctors initially suspect that there is a cardiac cause for chest pain.
The report said hospitals in England …

中文翻译：

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在英格兰，有一半的急性主动脉夹层患者在到达专科中心之前死亡。

根据医疗安全调查部的一项调查，约有20％的急性主动脉夹层患者在去任何医院之前死亡，而50％的死亡在到达专科中心之前死亡。1
关于急性主动脉夹层延迟识别的报告分析了医院活动和其他国家数据集，发现每年每10万人中约有4.5例发生，相当于英格兰每年2500例。
结果表明，诊断的延迟发生在大约16-40％的病例中，如果患者走进医院或者医生最初怀疑是心脏原因引起的胸痛，则诊断的可能性更大。
报告说，英格兰的医院……