| Ruptured versus elective abdominal aortic aneurysm repair: outcome and cost. | |
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MedLine Citation:
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PMID: 10541616 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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E Ascher; M Scheinman; P DePippo; W Yorkovich |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Annals of vascular surgery Volume: 13 ISSN: 0890-5096 ISO Abbreviation: Ann Vasc Surg Publication Date: 1999 Nov |
Date Detail:
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Created Date: 1999-12-21 Completed Date: 1999-12-21 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 613-7 Citation Subset: IM |
Affiliation:
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Division of Vascular Surgery, Department of Surgery, Maimonides Medical Center, Brooklyn, NY 11219, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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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