Key result
Ruptured AAA repair carries ~39% in-hospital mortality, but survivors regain normal functional status.
Why the study?
Ruptured abdominal aortic aneurysm is a lethal disease with limited data on resource use, long-term outcomes, and functional status after repair.
Observational (n=57)
Survivors of emergent surgical repair for ruptured abdominal aortic aneurysms achieve a functional status similar to the age-matched general population, despite high initial mortality and substantial resource utilization.
High mortality in ruptured AAA repair warrants prevention focus; leaves open whether care optimization can raise survival while preserving function.
Ruptured abdominal aortic aneurysm (RAAA) is a lethal disease. The aim of this study was to assess resource use, long-term outcome, and functional status of patients surviving repair of RAAAs. A retrospective review was made over a 42-month period. Functional status was assessed by use of the Medical Outcomes Study Short Form 36 (MOS SF-36) at a mean follow-up time of 29 months. Fifty-seven patients with an RAAA underwent surgical repair. The overall in-hospital mortality rate after surgical repair was 39%. Risk factors predictive for a poor hospital outcome were preoperative systolic blood pressure less than 90 mmHg, hematocrit less than 25%, transfusion requirements greater than 15 units, renal failure, and need for perioperative cardiopulmonary resuscitation (CPR). Total hospital costs were significantly higher for survivors compared with nonsurvivors. Hospital cost per survivor was $86,977. Intensive Care Unit, laboratory, and blood bank costs accounted for 50% of total hospital costs. Based on the eight domains of the MOS SF-36, no significant difference was found between the functional status of those patients surviving emergent repair of RAAAs and that of the general population of a similar age.
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Eskandari et al. (1998) conducted an observational in Ruptured abdominal aortic aneurysm (RAAA) (n=57). Surgical repair vs. General population of a similar age (for functional status) was evaluated on In-hospital mortality. Surgical repair of ruptured abdominal aortic aneurysms had a 39% in-hospital mortality rate, while survivors achieved functional status comparable to the general population at 29 months.
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