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Predicting outcome in ruptured abdominal aortic aneurysm: a prospective study of 100 consecutive cases

Predicting outcome in ruptured abdominal aortic aneurysm: a prospective study of 100 consecutive cases
Predicting outcome in ruptured abdominal aortic aneurysm: a prospective study of 100 consecutive cases
Objectives: Case selection for surgery in patients presenting with ruptured abdominal aortic aneurysms (RAAA) is often difficult. A previous retrospective review identified five pre-operative risk factors associated with mortality [J Vasc Surg 23 (1996) 123]. In this study we aimed to identify whether these criteria could be usefully applied prospectively in patients presenting with RAAA.
Methods: All patients presenting with RAAA from October 2000 to December 2002 were included. The criteria were recorded with the time they were available and the time surgery commenced. The decision to operate was made on clinical grounds and no patient was refused surgery on the basis of these criteria.
Results: One hundred consecutive patients were studied, median age 75 (range 54–94). The operative mortality was 32.9% (26/79 patients). Surgical mortality increased with the number of positive criteria and was 8% (2/24), 24% (7/29), 55% (11/20) and 100% (6/6) for scores, 0, 1, 2 and ?3, respectively. Age and conscious level were available in every patient. However, an ECG, haemoglobin and creatinine results were only available in 94, 81, and 69%, respectively.
Conclusions: The scoring system accurately predicted operative mortality. The score was available in the majority of cases and may help the surgeon give informed consent to patients and relatives prior to surgical intervention.
1078-5884
607-611
Boyle, J.R.
87ed0662-b71d-4527-91b5-da78d656b684
Gibbs, P.J.
d0349bae-fc4d-4860-9e75-06d9574c0d92
King, D.
ed13b6a5-ff3e-49d4-9270-e12e824da3ce
Shearman, C.P.
cf4d6317-f54d-4ab3-ba49-c6797897bbcf
Raptis, S.
145caa67-eb77-4e83-82d8-968b551839df
Phillips, M.J.
8ffbf284-ba63-4d65-97fa-eb6f256e8ade
Boyle, J.R.
87ed0662-b71d-4527-91b5-da78d656b684
Gibbs, P.J.
d0349bae-fc4d-4860-9e75-06d9574c0d92
King, D.
ed13b6a5-ff3e-49d4-9270-e12e824da3ce
Shearman, C.P.
cf4d6317-f54d-4ab3-ba49-c6797897bbcf
Raptis, S.
145caa67-eb77-4e83-82d8-968b551839df
Phillips, M.J.
8ffbf284-ba63-4d65-97fa-eb6f256e8ade

Boyle, J.R., Gibbs, P.J., King, D., Shearman, C.P., Raptis, S. and Phillips, M.J. (2003) Predicting outcome in ruptured abdominal aortic aneurysm: a prospective study of 100 consecutive cases. European Journal of Vascular and Endovascular Surgery, 26 (6), 607-611. (doi:10.1016/S1078-5884(03)00380-0).

Record type: Article

Abstract

Objectives: Case selection for surgery in patients presenting with ruptured abdominal aortic aneurysms (RAAA) is often difficult. A previous retrospective review identified five pre-operative risk factors associated with mortality [J Vasc Surg 23 (1996) 123]. In this study we aimed to identify whether these criteria could be usefully applied prospectively in patients presenting with RAAA.
Methods: All patients presenting with RAAA from October 2000 to December 2002 were included. The criteria were recorded with the time they were available and the time surgery commenced. The decision to operate was made on clinical grounds and no patient was refused surgery on the basis of these criteria.
Results: One hundred consecutive patients were studied, median age 75 (range 54–94). The operative mortality was 32.9% (26/79 patients). Surgical mortality increased with the number of positive criteria and was 8% (2/24), 24% (7/29), 55% (11/20) and 100% (6/6) for scores, 0, 1, 2 and ?3, respectively. Age and conscious level were available in every patient. However, an ECG, haemoglobin and creatinine results were only available in 94, 81, and 69%, respectively.
Conclusions: The scoring system accurately predicted operative mortality. The score was available in the majority of cases and may help the surgeon give informed consent to patients and relatives prior to surgical intervention.

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Published date: 2003

Identifiers

Local EPrints ID: 25274
URI: http://eprints.soton.ac.uk/id/eprint/25274
ISSN: 1078-5884
PURE UUID: ff9308d5-ba28-4fb7-8dce-6be5a71b3eae

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Date deposited: 06 Apr 2006
Last modified: 15 Mar 2024 07:01

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Contributors

Author: J.R. Boyle
Author: P.J. Gibbs
Author: D. King
Author: C.P. Shearman
Author: S. Raptis
Author: M.J. Phillips

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