Document Detail


Ruptured versus elective abdominal aortic aneurysm repair: outcome and cost.
MedLine Citation:
PMID:  10541616     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During a recent 30-month period, we repaired 10 ruptured abdominal aortic aneurysms (RAAA) at our institution. To evaluate the survival, postoperative morbidity, and financial impact of treating RAAA, we compared these patients with 10 randomly selected patients undergoing elective AAA (EAAA). Both groups were comparable for age, gender, and incidence of diabetes, hypertension, coronary artery disease, chronic obstructive pulmonary disease (COPD), and renal failure. Although we have noted a dramatic increase in survival for RAAA (90%), the morbidity continues to be unacceptably high (60%). Efforts should be made toward better detection of AAA prior to rupture as well as development of strategies to minimize or prevent these major complications. Potential average savings accrued from one patient undergoing EAAA repair rather than RAAA repair ($93,139. 21) can be used to perform screening abdominal ultrasound tests in patients at increased risk of having an AAA.
Authors:
E Ascher; M Scheinman; P DePippo; W Yorkovich
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Annals of vascular surgery     Volume:  13     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  1999 Nov 
Date Detail:
Created Date:  1999-12-21     Completed Date:  1999-12-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  613-7     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, Department of Surgery, Maimonides Medical Center, Brooklyn, NY 11219, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aortic Aneurysm, Abdominal / economics*,  mortality,  surgery*
Aortic Rupture / economics*,  mortality,  surgery*
Blood Loss, Surgical
Blood Transfusion
Cost Savings
Female
Hospital Costs
Humans
Length of Stay
Male
Postoperative Complications
Random Allocation
Retrospective Studies
Risk Factors
Surgical Procedures, Elective / economics
Survival Rate
Treatment Outcome

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


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