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April 1, 1993British journal of surgery

Abdominal aortic aneurysm: Still missing the message

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Why the study?

What proportion of patients presenting with ruptured or acute symptomatic AAA had prior missed opportunities for diagnosis or referral?

Population

50 patients presenting to a vascular unit with a ruptured or acute symptomatic abdominal aortic aneurysm…

Design

Cohort

Follow-up

24 months prior to acute presentation (retrospective)

Authors

SCStewart R. CraigGlasgow Royal InfirmaryRWRobert WilsonUniversity of North Carolina at Chapel HillAWAlex J WalkerAngkor Hospital for Children

Discussion

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Implication

Missed AAA diagnosis and referral opportunities in acute cases warrant attention; leaves open whether routine aortic assessment improves outcomes.

Structured PICO

What proportion of patients presenting with ruptured or acute symptomatic AAA had prior missed opportunities for diagnosis or referral?

P
Population
50 patients presenting to a vascular unit with a ruptured or acute symptomatic abdominal aortic aneurysm (AAA) over a 7-month period
I
Intervention
Retrospective review of medical history (24 months prior to presentation) for previous diagnosis or missed opportunities for diagnosis
O
Outcome
Rate of previously diagnosed but unreferred AAA, and rate of missed opportunities for diagnosis during prior medical encounters

A significant proportion of patients presenting with acute AAA have had prior missed opportunities for diagnosis or failure of referral after diagnosis, highlighting the need for routine assessment of aortic diameter in patients over 50.

Cite This Study

Craig et al. (1993) studied this question.

synapsesocial.com/papers/6a7058fe6ceb2bbd16dfdcc3https://doi.org/10.1002/bjs.1800800413
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical Fate of the Patient With Asymptomatic Abdominal Aortic Aneurysm and Unfit for Surgical Treatment1972 · 277 citations
  2. 2Age-standardized incidence of ruptured aortic aneurysm in a defined Swedish population between 1952 and 1988: mortality rate and operative results1992 · 84 citations
  3. 3Abdominal aortic aneurysm repair in the over eighties1989 · 33 citations
  4. 4General practice-based population screening for abdominal aortic aneurysms: A pilot study1989 · 117 citations
  5. 5A Community Detection Program For Abdominal Aortic Aneurysm1990 · 38 citations