| Predicting risk in elective abdominal aortic aneurysm repair: a systematic review of current evidence. | |
| | |
MedLine Citation:
|
PMID: 18922709 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To examine and compare existing pre-operative risk prediction methods for elective abdominal aortic aneurysm (AAA) repair. DESIGN: Systematic review. METHODS: Medline, EMBASE and the Cochrane library were searched for articles that related to risk prediction models used for elective AAA repair. RESULTS: 680 abstracts were reviewed and after exclusions 28 articles encompassing 10 risk models were identified. The most frequently studied of these were the Glasgow Aneurysm Score (GAS), the Physiological and Operative Severity Score for enUmeration of Mortality (POSSUM) predictor equation and the Vascular Biochemistry and Haematology Outcome Model (VBHOM). All models had strengths and weaknesses and some had unique features which were identified and discussed. CONCLUSION: The GAS appeared to be the most useful and consistently validated score at present for open repair. Other systems were either not validated fully or were not consistently accurate. Some had significant drawbacks which appeared to severely limit their clinical application. Recent work has shown that no scores consistently predicted the risk associated with endovascular aneurysm repair (EVAR). Pre-operative risk stratification is a vital component of modern surgical practice, and we propose the need for a comprehensive new risk scoring method for AAA repair incorporating anatomical and physiological data. |
| | |
Authors:
|
B O Patterson; P J E Holt; R Hinchliffe; I M Loftus; M M Thompson |
Related Documents
:
|
21139089 - Population trends of recurrent coronary heart disease event rates remain high. 21450759 - Mitigating effect of immigration on the relation between income inequality and mortalit... 21840329 - Dehydroepiandrosterone-sulphate replacement improves the human plasma fatty acid profil... 790959 - The effect of antibiotic prophylaxis on patients undergoing total abdominal hysterectom... 15467569 - Higher rates of tachysystole among patients with clinically apparent uterine leiomyomas. 10580459 - Hysterectomy and sexual functioning. 21505309 - Gender differences in antiretroviral treatment outcomes among hiv-infected adults in da... 11113409 - Usefulness of a history of tobacco and alcohol use in predicting multiple heart failure... 11686969 - Labour assessment programs to delay admission to labour wards. |
Publication Detail:
|
Type: Journal Article; Review Date: 2008-10-14 |
Journal Detail:
|
Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery Volume: 36 ISSN: 1532-2165 ISO Abbreviation: Eur J Vasc Endovasc Surg Publication Date: 2008 Dec |
Date Detail:
|
Created Date: 2008-11-21 Completed Date: 2008-12-18 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: England |
Other Details:
|
Languages: eng Pagination: 637-45 Citation Subset: IM |
Affiliation:
|
St George's Vascular Institute, St James Wing, St George's Hospital, London SW17 0QT, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aortic Aneurysm, Abdominal
/
surgery* Humans Models, Statistical Prognosis Risk Assessment |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The haemodynamics of the distal arterial Y-shaped autograft bypass-flap in a porcine experimental mo...
Next Document: Presence of lower limb deep vein thrombosis and prognosis in patients with symptomatic pulmonary emb...