Key result
Resection of ruptured abdominal aortic aneurysms in 70 patients was associated with an overall hospital mortality of 34%.
Why the study?
What is the hospital mortality rate and what factors are associated with mortality in patients undergoing resection for ruptured abdominal aortic aneurysm?
Observational (n=70)
What is the hospital mortality rate and what factors are associated with mortality in patients undergoing resection for ruptured abdominal aortic aneurysm?
Answers are grounded in this paper and cite their sources.
Hospital mortality for ruptured abdominal aortic aneurysm remains high at 34%, emphasizing the need for earlier diagnosis and prompt operative management.
During the period 1965-1983, 270 patients underwent resection of abdominal aortic aneurysm. In 70 patients (26%) the aneurysm was ruptured. Overall hospital mortality of patients with ruptures was 34%. Five patients died before the graft could be completed. Common denominators associated with mortality were hypotension, renal failure, cardiac arrest, and postoperative hemorrhage. The average age over the first 10 years was 68, but subsequently, has risen gradually, with a corresponding increase in mortality despite improved surgical technique and postoperative care. Only with more widespread elective resections and earlier diagnosis of rupture followed by prompt operative management, can the outlook for patients with abdominal aortic aneurysm be improved.
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Crew et al. (1985) conducted an observational in Ruptured abdominal aortic aneurysm (n=70). Resection of ruptured abdominal aortic aneurysm was evaluated on Hospital mortality. Resection of ruptured abdominal aortic aneurysms in 70 patients was associated with an overall hospital mortality of 34%.
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