Document Detail


Ruptured abdominal aortic aneurysm and quality of life.
MedLine Citation:
PMID:  12704527     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study was undertaken to examine the community hospital experience in managing ruptured abdominal aortic aneurysm, and to assess the quality of life in survivors of the abdominal aortic aneurysm procedure. Study parameters included a retrospective chart review with prospective follow-up at a 369-bed, university-affiliated, community teaching hospital. Eighty-one consecutive patients undergoing surgery for ruptured abdominal aortic aneurysm between 1991 and 2000 were included. Main outcome measures included mortality and quality of life, as assessed by the SF-36 health survey. The overall perioperative mortality rate was 34.6%, significantly less (p < 0.005) than the 50% mortality rate reported in the literature. Predictor variables significantly related to mortality were age (p < 0.002), preoperative creatinine (p < 0.026), use of suprarenal clamp (p < 0.0001), acute renal failure (p < 0.0001), myocardial infarction (p < 0.0001), respiratory failure (p < 0.0001), and tobacco use (p < 0.05). Multiple regression analysis found that three predictor variables--myocardial infarction, respiratory failure, and use of a suprarenal clamp--predicted 25% of the variability in mortality (p < 0.0001). The quality-of-life analyses showed that the majority of the patients for whom follow-up data could be obtained (n = 26), reported the same or better quality of life compared to SF-36 norms for age-matched individuals. Results from this community hospital sample suggest that ruptured abdominal aortic aneurysm repair can be accomplished in this setting with an acceptable survival rate, and subsequent quality of life that meets or exceeds that of an age-matched sample.
Authors:
Abed Y Joseph; Jay B Fisher; Lori J Toedter; James D Balshi; Marc A Granson; David Meir-Levi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  36     ISSN:  1538-5744     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:    2002 Jan-Feb
Date Detail:
Created Date:  2003-04-21     Completed Date:  2003-05-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  65-70     Citation Subset:  IM    
Affiliation:
Department of Surgery, Easton Hospital, Easton, PA 18042-3892, USA.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Aged, 80 and over
Aortic Aneurysm, Abdominal / complications*,  mortality,  surgery*
Aortic Rupture / etiology*,  mortality,  surgery*
Female
Follow-Up Studies
Health Status
Hospitals, Community / statistics & numerical data*
Humans
Male
Middle Aged
Quality of Life*
Retrospective Studies
Risk Factors
Sex Factors
Survival Rate

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


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