Mortalidad por aneurismas aórticos en México: necesidad de un registro nacional

Mortality and hospitalization trends for aortic aneurysms and dissections in Mexico

“…Previous Mexican studies, mainly carried out at single-center settings, have reported estimated prevalence rates that range from 5% to 10%. 16,[20][21][22] These estimates may be correlated with the increase observed in AA-related mortality not only in Mexico, but also throughout Latin America. 20,23 Our comprehensive 11-year analysis reveals that, while in-hospital mortality rates have remained relatively stable, deaths in the general population did increase by 25% during the study period.…”

“…16,[20][21][22] These estimates may be correlated with the increase observed in AA-related mortality not only in Mexico, but also throughout Latin America. 20,23 Our comprehensive 11-year analysis reveals that, while in-hospital mortality rates have remained relatively stable, deaths in the general population did increase by 25% during the study period. This marked difference underscores the pressing need for comprehensive assessments and timely interventions to be carried out.…”

“…As for screening methods, family history of AAA and a smoking history are two important risk factors to consider when selecting patients who would benefit from abdominal ultrasound. 5 In a letter to the editor, Hinojosa et al, 20 when analyzing open data on mortality in Mexico spanning from 1998 to 2012, identified an increase in mortality rates related to AA and aortic dissections, with an average age of 69.1 years. Our analysis echoes those findings and reveals a similar mean age (69.5 years), and a total of 6,049 deaths during the study period.…”

Factores determinantes de morbimortalidad en aneurismas de aorta abdominal rotos en cirugÓ­a abierta

“…De igual manera, Howard et al 17 refieren que los mayores de 75 años son el sector más vulnerable para presentar rAAA. Recientemente, Hinojosa et al 11 han pugnado por la realización de un esfuerzo interinstitucional para la detección oportuna del AAA en grupos de menores y mayores de 65 años, en los que se encuentran la gran mayoría de las rupturas.…”

“…Existen múltiples posturas respecto al beneficio de realizar un cribado poblacional a pacientes con factores de riesgo de desarrollar AAA, con el objeto de poder llevar a cabo una reparación electiva oportuna; sin embargo, la forma de presentación más temida es la ruptura del AAA (rAAA), la cual tiene una incidencia de 6-21 pacientes por millón 10 . Se cree que solo el 30-50% de los casos alcanza a tener atención médica, teniendo una mortalidad alrededor del 80% 11 . Cannon 12 reporta que, en todo el mundo, los años de vida perdidos por rAAA podrían sumar 2,881,760 años.…”