Key result
Octogenarians with ruptured abdominal aortic aneurysms had a significantly lower overall survival rate compared to younger patients (37.8% vs 61.8%), though survival was equivalent among those who survived to undergo prosthetic graft replacement.
Why the study?
Does advanced age (≥80 years) worsen survival outcomes in patients with ruptured abdominal aortic aneurysms?
Cohort (n=126)
No
Does advanced age (≥80 years) worsen survival outcomes in patients with ruptured abdominal aortic aneurysms?
Octogenarians with ruptured abdominal aortic aneurysms have higher overall mortality due to an inability to withstand hypovolemic shock, but those who survive to undergo prosthetic graft replacement have survival rates equivalent to younger patients, highlighting the importance of elective repair before rupture.
Supports repair consideration in octogenarians reaching surgery after ruptured AAA; leaves open age-specific selection criteria for future trials.
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Furubayashi et al. (2005) conducted a cohort in Ruptured abdominal aortic aneurysms (RAAA) (n=126). Age ≥ 80 years (Octogenarians) vs. Age < 80 years was evaluated on Overall survival rate. Octogenarians with ruptured abdominal aortic aneurysms had a significantly lower overall survival rate compared to younger patients (37.8% vs 61.8%), though survival was equivalent among those who survived to undergo prosthetic graft replacement.
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