Emergency repair of ruptured abdominal aortic aneurysms is associated with a high in-hospital mortality of 70%, but patients who survive to discharge experience good long-term survival.
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High mortality in rAAA repair warrants ongoing caution; observational data leave open whether care optimization can improve outcomes while supporting good long-term survival.
Survival following emergency surgery for ruptured abdominal aortic aneurysm remains poor and is in stark contrast to that for elective repair. We have carried out a 5-year retrospective observational study to determine the long-term (5-year) survival of patients following emergency surgery for ruptured abdominal aortic aneurysm at a district general hospital in East Anglia. A total of 99 patients presented to the operating theatre for emergency repair of ruptured abdominal aortic aneurysm in this 5-year study period. In-hospital mortality was 70% and was unchanged over the 5 years. Overall long-term survival in those patients discharged from hospital was good. The ICU cost per long-term survivor was calculated to be pound sterling 36750.
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Milner et al. (2000) studied this question.
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