Document Detail

Do scoring systems help in predicting survival following ruptured abdominal aortic aneurysm surgery?
MedLine Citation:
PMID:  19102824     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: The aim of this study was to assess the value of the Hardman Index and the Glasgow Aneurysm Score in predicting postoperative mortality in patients with ruptured abdominal aortic aneurysm (rAAA), and to assess the correlation between the two.
PATIENTS AND METHODS: Patients admitted with rAAA were identified from a hospital database. Hospital records were reviewed and a retrospective Hardman Index and Glasgow Aneurysm Score was calculated. Poor postoperative prognosis was considered at a Glasgow Aneurysm Score > 95 or a Hardman Index >or= 3.
RESULTS: A total of 96 patients with a median age of 77.5 years (interquartile range, 71-83 years) and a male:female ratio of 2:1 were identified. Of these, 37 patients were not offered surgery and this was associated with 100% mortality. Of the 59 operated patients, 36 (61%) patients died postoperatively. Operated patients had a median Glasgow Aneurysm Score of 91 (interquartile range, 77-101) and a Hardman Index of 2 (interquartile range, 1-2). In this group, a Glasgow Aneurysm Score > 95 or a Hardman Index >or= 3 was not associated with mortality (P = 0.10 and P = 0.79, respectively). Correlation between the scoring systems was poor (+0.42 tau(b)).
CONCLUSIONS: The scoring systems assessed did not help predict the outcome of rAAA surgery, and correlated poorly with each other. They do not aid clinical judgement.
Marcel Gatt; Paul Goldsmith; Marcos Martinez; Jesus Barandiaran; Kartikae Grover; Naif El-Barghouti; Eugene P Perry
Related Documents :
20831984 - Endovascular repair of ruptured aortic aneurysms using carbon dioxide contrast angiogra...
24497604 - Frailty is a predictor of short- and mid-term mortality after elective cardiac surgery ...
12787694 - Results of urgent and emergency thoracic procedures treated by endoluminal repair.
534044 - Risk of intracranial aneurysm surgery in the good grade patient: early versus late oper...
22727954 - Outpatient treatment of infantile hemangiomas with propranolol: a prospective study.
19320574 - Surgical hand antisepsis with alcohol-based hand rub: comparison of effectiveness after...
Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2008-12-19
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  91     ISSN:  1478-7083     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-25     Completed Date:  2009-07-07     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  England    
Other Details:
Languages:  eng     Pagination:  123-7     Citation Subset:  IM    
Department of Surgery, Scarborough General Hospital, Scarborough, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Aortic Aneurysm, Abdominal / mortality*,  surgery
Aortic Rupture / mortality*,  surgery
Postoperative Complications / mortality*
Sensitivity and Specificity
Severity of Illness Index*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Cost minimisation using clinic-based treatment for common hand conditions--a prospective economic an...
Next Document:  Improving operation notes to meet British Orthopaedic Association guidelines.