Key result
Operative mortality for abdominal aortic aneurysm resection in patients aged ≥80 years was 5.2% for elective, 26.6% for symptomatic nonruptured, and 66.7% for ruptured aneurysms.
Observational (n=38)
Answers are grounded in this paper and cite their sources.
Elective resection of abdominal aortic aneurysms in octogenarians has a relatively low operative mortality (5.2%), which is frequently overestimated by nonsurgeons, leading to under-referral.
We reviewed the risk of resecting an abdominal aortic aneurysm in 38 patients aged 80 years or older. The operative mortality for an elective aneurysm was 5.2%, for symptomatic but nonruptured aneurysm 26.6%, and for ruptured aneurysm 66.7%. The preoperative risk factors were essentially the same for the elective and ruptured group. Several of the patients with ruptured aneurysm had been followed up with their aneurysm for several years by nonsurgeons. To better understand why these patients were not being referred for elective repair, 100 nonsurgeons were sent a questionnaire concerning abdominal aortic aneurysms in octogenarians. The results showed that 81% overestimated the elective operative mortality and as a result did not recommend elective resection.
No takes yet. Share an insight, caveat, or question.
PETRACEK et al. (1980) conducted an observational in Abdominal aortic aneurysm (n=38). Resection of abdominal aortic aneurysm vs. Elective vs symptomatic nonruptured vs ruptured was evaluated on Operative mortality. Operative mortality for abdominal aortic aneurysm resection in patients aged ≥80 years was 5.2% for elective, 26.6% for symptomatic nonruptured, and 66.7% for ruptured aneurysms.
Synapse has enriched 10 related papers. Consider them for comparative context: