NDLI: Open repair for ruptured abdominal aortic aneurysm: is it possible to predict survival?

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Open repair for ruptured abdominal aortic aneurysm: is it possible to predict survival?

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Open repair for ruptured abdominal aortic aneurysm: is it possible to predict survival?

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Antonello, M. Frigatti, P. Maturi, C. Lepidi, S. Noventa, F. Pittoni, G. Deriu, G. P. Grego, F.
Description	Country affiliation: Italy Author Affiliation: Antonello M ( Department of Cardiac, Thoracic, and Vascular Sciences, Vascular and Endovascular Surgery Section, University of Padua, Padua, Italy. michele.antonello.1@unipd.it)
Abstract	The aim of the study was to determine variables that could be used to predict survival in patients with ruptured abdominal aortic aneurysm (RAAA) and to assess the accuracy of the Glasgow Aneurysm Score (GAS) and the Acute Physiology Chronic Health Evaluation II (APACHE-II). From January 1998 to July 2006, 103 patients underwent operations for RAAA. For each patient, 44 variables were retrospectively recorded in a database. Data were analyzed with univariate and multivariate methods. In the univariate analysis significant predictors of death were hypotension (p=0.001), preexisting peripheral vascular disease (p<0.001), renal insufficiency (p=0.037), chronic obstructive pulmonary disease (p=0.028), level of HCO(3)(-) (p<0.001), intraperitoneal rupture (p=0.001), blood transfused (p<0.001), cardiac complications (p<0.001), and APACHE-II score (p=0.001). Multivariate analysis confirmed statistical significance for coexisting peripheral vascular disease (p<0.001), diastolic blood pressure at admission <60 mm Hg (p=0.039), APACHE-II score >18.5 (p=0.025), HCO(3)(-) <21 mg/dL (p<0.001), and intraperitoneal rupture of the aneurysm (p=0.011) as predictors of death. Results of the study suggested that different factors can be helpful in identifying those patients whose operative risk is prohibitive. APACHE-II, contrary to GAS, is an accurate system to predict postoperative death after repair for RAAA.
File Format	HTM / HTML
ISSN	08905096
Issue Number	2
Volume Number	23
e-ISSN	16155947
Journal	Annals of Vascular Surgery
Language	English
Publisher	Elsevier
Publisher Date	2009-03-01
Publisher Place	Netherlands
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Health Status Indicators Humans Middle Aged Male Predictive Value Of Tests Journal Article Patient Selection Discipline General Surgery Time Factors Discipline Vascular Diseases Surgery Female Retrospective Studies Aortic Aneurysm, Abdominal Hospital Mortality Risk Assessment Mortality Risk Factors Logistic Models Treatment Outcome Apache Aged, 80 And Over Aortic Rupture Vascular Surgical Procedures Aged
Content Type	Text
Resource Type	Article
Subject	Surgery Cardiology and Cardiovascular Medicine

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