| Regional disparities in incidence, handling and outcomes of patients with symptomatic and ruptured abdominal aortic aneurysms in Norway. | |
| | |
MedLine Citation:
|
PMID: 22658615 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: To study incidence, handling and outcome of patients hospitalised with symptomatic and ruptured abdominal aortic aneurysm in Norway. DESIGN, MATERIAL AND METHODS: Retrospective study of 1291 patients, between January 2008 and August 2010 using the National Patient Registry and a regional vascular surgery registry. We applied a stepwise logistic regression model to detect differences in regional in-hospital mortality. RESULTS: 385/711 (54%) patients hospitalised for aneurysm rupture, rAAA (ICD-10: I71.3), died. The odds of dying varied with a factor 2.3 between the extreme regions. 475/711 (67%) underwent repair, 323 survived, giving an in-hospital mortality rate of 32% after surgery. Older patients were significantly less likely to be transported for surgery. The overall incidence for patients aged >50 was 16.6 rAAA per 100,000 person-years. There was remarkable variation across counties with rates between 7.7 and 26.8. A total of 580 patients were hospitalised with suspected symptomatic aneurysms (ICD-10:I71.4, acute admission); 224 (39%) were treated with aneurysm repair, 356 (61%) were discharged without repair without a significant difference across health regions. CONCLUSIONS: For rAAA, we found substantial geographical variations in incidence, surgery and patient outcome. These results highlight the need for increased awareness about the condition and suggest ways to improve care trajectories to reduce delay to surgery, thereby minimising rupture mortality. |
| | |
Authors:
|
B J Brattheim; T A Eikemo; M Altreuther; A D Landmark; A Faxvaag |
Related Documents
:
|
22442435 - Should patients be routinely assessed for cerebral vasospasm after temporal lobe epilep... 22714585 - Prognostic factors of postoperative morbidity and mortality in strangulated groin hernia. 23120685 - Isolated sphenoid sinus disease - a retrospective analysis. 22824695 - Surgical treatment in startle epilepsy. 11479505 - Fast-tracking pulmonary resections. 22931135 - Modified millard's technique in operations for unilateral cleft lip. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2012-05-31 |
Journal Detail:
|
Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery Volume: 44 ISSN: 1532-2165 ISO Abbreviation: Eur J Vasc Endovasc Surg Publication Date: 2012 Sep |
Date Detail:
|
Created Date: 2012-08-24 Completed Date: 2012-11-02 Revised Date: 2013-02-28 |
Medline Journal Info:
|
Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: England |
Other Details:
|
Languages: eng Pagination: 267-72 Citation Subset: IM |
Copyright Information:
|
Copyright © 2012 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
|
Department of Radiography, Sør-Trøndelag University College (HiST), Trondheim, Norway. berit.j.brattheim@ntnu.no |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Age Factors Aged Aged, 80 and over Aortic Aneurysm, Abdominal / mortality, surgery* Aortic Rupture / mortality, surgery* Chi-Square Distribution Delivery of Health Care / statistics & numerical data* Female Healthcare Disparities / statistics & numerical data* Hospital Mortality Humans Incidence Inpatients / statistics & numerical data Logistic Models Male Middle Aged Norway / epidemiology Odds Ratio Patient Discharge / statistics & numerical data Physician's Practice Patterns / statistics & numerical data* Registries Residence Characteristics / statistics & numerical data* Retrospective Studies Risk Assessment Risk Factors Survival Analysis Time Factors Treatment Outcome Vascular Surgical Procedures / adverse effects, mortality, statistics & numerical data* |
| Comments/Corrections | |
Comment In:
|
Eur J Vasc Endovasc Surg. 2013 Jan;45(1):100-1
[PMID:
23182518
]
Eur J Vasc Endovasc Surg. 2013 Jan;45(1):101-2 [PMID: 23200608 ] Eur J Vasc Endovasc Surg. 2012 Sep;44(3):273 [PMID: 22818803 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Management of Uncomplicated Varicose Veins - A Case Vignette for a Clinical Decision Proposal.
Next Document: The European Society for Vascular Surgery Guidelines for Carotid Intervention: An Updated Independen...