Document Detail


Improved outcome after rupture of abdominal aortic aneurysm over an 18-year period.
MedLine Citation:
PMID:  18055168     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of the study was to analyze changes in in-hospital mortality of patients with ruptured abdominal aortic aneurysm (RAAA) during an 18-year period. A retrospective analysis of 246 patients with RAAA in the years 1987-2005 was performed. The patients were divided into groups that consisted of 111 patients treated in the years 1987-2000 (group I) and 135 patients treated in the years 2001-2005 (group II). The in-hospital mortality rates of all patients and of operated patients in both groups were analyzed. Preoperative variables such as age, gender, size of the aneurysm, duration of symptoms, distance to the vascular surgery department, full blood count, serum creatinine and urea concentrations, and systolic and diastolic blood pressures, as well as the number of all AAAs and RAAAs treated per year, were compared between the groups. The Mann-Whitney U-test and Fisher exact test were used to analyze differences in continuous and categorical variables, respectively. The in-hospital mortality of all patients was significantly lower in group II (p = 0.006) The difference in in-hospital mortality of operated patients was of borderline statistical significance (p = 0.07). The proportion of nonoperated patients decreased from 21% to 6% (p = 0.0008). The patients from group II had significantly higher preoperative levels of hemoglobin, hematocrit, erythrocytes, and platelets, as well as higher systolic and diastolic blood pressure and smaller diameter of aneurysm. The number of both all aneurysms and RAAAs per year was significantly higher in group II. The improved preoperative status of the patients and more aggressive surgical approach are associated with reduction in in-hospital mortality of patients with RAAA. The increased experience of the center may also improve outcome of RAAA.
Authors:
Lukasz Dzieciuchowicz; Wacław Majewski; Maciej Słowiński; Zbigniew Krasiński; Andrzej A Jawien; Krzysztof Bieda; Grzegorz Oszkinis; Marcin Gabriel; Stanisław Zapalski
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2007-12-04
Journal Detail:
Title:  Annals of vascular surgery     Volume:  22     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-14     Completed Date:  2008-03-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  25-9     Citation Subset:  IM    
Affiliation:
Department of General and Vascular Surgery, Poznan University of Medical Sciences, Poznan, Poland. l_dzieciuchowicz@wp.pl
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MeSH Terms
Descriptor/Qualifier:
Aged
Aortic Aneurysm, Abdominal / complications*,  mortality,  surgery
Aortic Rupture / etiology,  mortality*,  surgery
Clinical Competence
Female
Health Status
Hospital Mortality
Humans
Male
Middle Aged
Quality of Health Care
Retrospective Studies
Time Factors
Treatment Outcome
Vascular Surgical Procedures / mortality*

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


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