Outcomes of Conservatively Managed Patients With Abdominal Aortic Aneurysm: A Single-Centre Experience

INTRODUCTION: The results of patients at one hospital who were judged eligible for conservative care of abdominal aortic aneurysms (AAA) are examined in this research. Optimizing patient care and management tactics requires an understanding of the mortality trends and causes of death within this group. METHODOLOGY: Sunderland Royal Hospital carried out a single-center retrospective analysis between May 2018 and January 2024. Out of the 447 individuals who had a AAA diagnosis, 396 had repairs, while 51 were rejected. Medical records were used to gather information on demographics, aneurysm features, length of survival, and reasons for death. The reasons for death and survival rates were ascertained using statistical analysis. RESULTS: Thirty (58.8%) of the 51 patients had passed away, while 21 (41.1%) were still alive. The remaining 26 fatalities (87%) were ascribed to various causes, such as myocardial infarction (27%), cancer (17%), and chronic obstructive pulmonary disease (COPD) (13%), with just four deaths (13%) being caused by ruptured AAA (rAAA). According to the research, the one-year survival rate was 17.6%, and the first six months after choosing not to intervene were when the majority of deaths occurred. CONCLUSION: Comorbidities have a substantial influence on outcomes for patients treated conservatively for AAA, as evidenced by the low proportion of rupture-related fatalities. This study emphasizes the need for more investigation, especially large-scale, population-based studies, to gain a better understanding of AAA patient care and outcomes.