Linked Life Data

9460283

Source:http://linkedlifedata.com/resource/pubmed/id/9460283

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1998-3-26
pubmed:abstractText
Abdominal aortic aneurysms (AAA) usually undergo progressive dilatation and eventually may rupture, complication that carries a high mortality rate. If certain clinical conditions, like operative risk and aortic diameter are met, all patients should be considered for surgical repair. Analysis of our results with the surgical treatment of asymptomatic AAA prompted this study. Out of 479 consecutive patients operated because of AAA between 1976 and 1995, 378 (79%) were electively treated. Two decades: 1976-85 (101 patients) and 1986-95 (277 patients) were compared as far as associated medical conditions, surgical procedures, complications and mortality rate. There was no difference in age, sex, risk factors and aortic diameter. During the second decade we favoured the use of aortic tube grafts (53% vs 25%, p < 0.01) and epidural anesthesia (94% vs 35%, p < 0.01). During the last decade only 53.3% of the patients received blood transfusion, compared to 95.3% during the first period (p < 0.001). Operative mortality decreased from 5.94% to 0.72% (p < 0.05). Postoperative hospital stay diminished from 11.2 +/- 8.2 to 9.6 +/- 6.3 days (p < 0.05). These results compare favourably with those reported from other academic centers and support our therapeutic approach. Our contemporary surgical results serve as a reference for future clinical evaluation of endovascular procedures currently under investigation.
pubmed:language
spa
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0034-9887
pubmed:author
pubmed:issnType
Print
pubmed:volume
125
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
425-32
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1997
pubmed:articleTitle
[Abdominal aortic aneurysm: course of morbimortality of elective surgery in 20 years].
pubmed:affiliation
Departamento de Enfermedades Cardiovasculares y Anestesiología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Chile.
pubmed:publicationType
Journal Article, English Abstract