Surgical repair of ruptured abdominal aortic aneurysms in the state of Maryland : Factors influencing outcome among 527 recent cases. Discussion.
Annual Meeting of the Southern Association for Vascular Surgery. Rio Grande, PRI, 1998/01/21.
Abdominal aortic aneurysm (AAA) rupture has been historically associated with high operative mortality rates.
In this community-based, cross-sectional study, we examined factors influencing outcome after operations performed for ruptured AAA (rAAA).
An analysis of a state database identified 3820 patients who underwent AAA repair between 1990 and 1995, including 527 (13.8%) who had an operation for an rAAA.
Demographic variables examined included patient age, gender, race, associated comorbidity rates, operative surgeon experience with rAAA, and annual hospital rAAA and total AAA operative volumes.
Outcomes measured included operative mortality rates, hospital length of stay, and charges.
Operative mortality rates increased significantly with advancing age (P<0.0001) but were not related to gender (P=0.474) or race (p=0.598) and were significantly lower among patients with hypertension (P=0.006) or pulmonary disease (P=0.045).
There was no relationship between hospital rAAA or total AAA volume and rAAA repair mortality rate, although high-volume surgeons (i.e., performing more than 10 rAAA repairs) had decreased mortality rates and hospital charges compared with other surgeons.
Hospital lengths of stay and charges increased with age among survivors, but not nonsurvivors, of rAAA repair. (...)
Mots-clés Pascal : Anévrysme, Aorte abdominale, Rupture tissu, Complication, Chirurgie, Traitement, Pronostic, Maryland, Etats Unis, Amérique du Nord, Amérique, Homme, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Artère pathologie
Mots-clés Pascal anglais : Aneurysm, Abdominal aorta, Tissue rupture, Complication, Surgery, Treatment, Prognosis, Maryland, United States, North America, America, Human, Cardiovascular disease, Vascular disease, Arterial disease
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0430508
Code Inist : 002B25E. Création : 25/01/1999.