| Abdominal aortic aneurysm repair in octogenarians: outcomes and predictors. | |
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MedLine Citation:
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PMID: 16387519 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: This study was undertaken to evaluate predictors and outcomes of octogenarians who underwent abdominal aortic aneurysm repair. DESIGN: A prospective observational study. MATERIALS AND METHODS: Between January 1st, 1997 and April 15th, 2005, 31 octogenarians were admitted to our Department with the diagnosis of abdominal aortic aneurysm. Mean follow-up time was 53.7+/-27.2 months. All patients were in good clinical condition and represented a selected healthy group of octogenarians. RESULTS: The overall perioperative (30-days) mortality rate was 3.1%. The total in-hospital morbidity rate was 22.6%. Overall survival estimates at 48 and 96 months were 81+/-8% and 46+/-21%, respectively. The actuarial freedom from aneurysm-related death at 48 and 96 months was 96+/-4% and 96+/-4%, respectively. The actuarial freedom from aneurysm-unrelated death at 48 and 96 months was 84+/-7% and 48+/-21%. Only coronary artery disease was a significant predictor of survival using multivariate stepwise logistic regression analysis. CONCLUSIONS: In this series, AAA surgery was carried out in selected octogenarians without affecting long-term survival. |
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Authors:
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L Dainese; F Barili; R Spirito; V K Topkara; G Pompilio; M Trezzi; G Polvani; P Biglioli |
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Publication Detail:
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Type: Journal Article Date: 2006-01-04 |
Journal Detail:
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Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery Volume: 31 ISSN: 1078-5884 ISO Abbreviation: Eur J Vasc Endovasc Surg Publication Date: 2006 May |
Date Detail:
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Created Date: 2006-04-24 Completed Date: 2006-06-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: England |
Other Details:
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Languages: eng Pagination: 464-9 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, Centro Cardiologico Monzino, University of Milan, Via Parea 4, 20138 Milan, Italy. fabarili@libero.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Actuarial Analysis Aged, 80 and over Aortic Aneurysm, Abdominal / mortality*, surgery* Female Follow-Up Studies Humans Male Predictive Value of Tests Prospective Studies Regression Analysis Survival Rate Treatment Outcome Vascular Surgical Procedures / adverse effects |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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