Linked Life Data

11769139

Source:http://linkedlifedata.com/resource/pubmed/id/11769139

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2001-12-21
pubmed:abstractText
The objective of this report was to analyze the current surgical results of operative treatment in patients suffering ruptured AAA (abdominal aortic aneurysms) and to define those independent predictive factors for mortality. During a period of 2 years, from January 1996 to December 1997, 144 patients operated on for ruptured AAA in 10 hospitals were included in a multicenter retrospective study. Among the collected variables concerning each patient, those with potential relation to surgical mortality were studied: gender, age, diabetes, hypertension, cardiopathy, pulmonary obstructive disease, preoperative renal dysfunction, symptomatic cerebrovascular disease, peripheral vascular disease, hematocrit on admission, preoperative hypotension < 80 mmHg, loss of consciousness, cardiac arrest, aortic aneurysm location (infrarenal versus non-infrarenal), iliac involvement, aneurysm size, type of rupture, left renal vein ligature, ligature of a patent inferior mesenteric artery, place of aortic cross-clamping, type of grafting, exclusion of both hypogastric arteries, venous technical complications, associated surgery, use of cell saver, intraoperative blood loss, and postoperative complications (renal failure, sepsis, coagulopathy, cardiac complications, pulmonary complications, colon ischemia, prosthetic graft complications, and need for reoperation). Those variables with statistical significance in the univariate analysis were introduced into a multivariate logistic regression model to determine the independent predictors of death. From our results we concluded that surgery for ruptured abdominal aortic aneurysms continues to have an excessively high mortality rate. Even though some preoperative variables could be identified as predictors of mortality, an absolute mortality risk has not yet been determined and the decision to negate surgery should be individualized rather than taken on that basis only. Early diagnosis and treatment of symptomatic aneurysms would improve mortality figures and selective screening should be contemplated.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0890-5096
pubmed:author
pubmed:issnType
Print
pubmed:volume
15
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
601-7
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:11769139-Age Factors, pubmed-meshheading:11769139-Aged, pubmed-meshheading:11769139-Aged, 80 and over, pubmed-meshheading:11769139-Aortic Aneurysm, Abdominal, pubmed-meshheading:11769139-Aortic Rupture, pubmed-meshheading:11769139-Blood Pressure, pubmed-meshheading:11769139-Creatinine, pubmed-meshheading:11769139-Female, pubmed-meshheading:11769139-Hematocrit, pubmed-meshheading:11769139-Hospital Mortality, pubmed-meshheading:11769139-Humans, pubmed-meshheading:11769139-Logistic Models, pubmed-meshheading:11769139-Male, pubmed-meshheading:11769139-Middle Aged, pubmed-meshheading:11769139-Postoperative Complications, pubmed-meshheading:11769139-Predictive Value of Tests, pubmed-meshheading:11769139-Risk Factors, pubmed-meshheading:11769139-Surgical Instruments, pubmed-meshheading:11769139-Survival Analysis, pubmed-meshheading:11769139-Treatment Outcome
pubmed:year
2001
pubmed:articleTitle
Factors increasing the mortality rate for patients with ruptured abdominal aortic aneurysms.
pubmed:affiliation
Service of Vascular Surgery, Hospital Juan Canalejo, Xubias de Arriba 84, 15006 A Coruña, Spain.
pubmed:publicationType
Journal Article, Comparative Study, Multicenter Study