Postoperative Intensive Care Unit Management After Ruptured Abdominal Aortic Aneurysm

Kuckelman, John; Niven, Alexander S.; Martin, Matthew J.

doi:10.1007/978-3-319-23844-9_15

Cited by 2 publications

(3 citation statements)

References 104 publications

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“…In most patients, this can be safely initiated within 24e48 h of surgery unless there are signs of ongoing bleeding or a clinically significant coagulopathy. 413 This should be continued throughout the hospital stay and continued in selected patients after discharge based on individual risk factors and level of mobilisation. 412,413 5.2.7.…”

Section: Conventional Graft and Stent Graft Configurationmentioning

confidence: 99%

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Editor's Choice – European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms

Wanhainen¹,

Verzini²,

Herzeele³

et al. 2019

European Journal of Vascular and Endovascular Surgery

1,896

1,522

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Section: Conventional Graft and Stent Graft Configurationmentioning

confidence: 99%

“…413 This should be continued throughout the hospital stay and continued in selected patients after discharge based on individual risk factors and level of mobilisation. 412,413 5.2.7. Non-operative management and palliation.…”

Section: Conventional Graft and Stent Graft Configurationmentioning

confidence: 99%

Editor's Choice – European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms

Wanhainen¹,

Verzini²,

Herzeele³

et al. 2019

European Journal of Vascular and Endovascular Surgery

1,896

1,522

View full text Add to dashboard Cite

“…The 30-day and 90-day all-cause mortality rates were reported to be 22.9% and 33.3% respectively for ruptured AAA patients after surgery therapy 15 . To further improve prognosis of AA, no doubt postoperative management should be improved 16 .…”

Section: Introductionmentioning

confidence: 99%

Characteristics and Prognosis of Abdominal or Thoracic Aortic Aneurysm Patients Admitted to Intensive Care Units After Surgery Therapy: A Multicenter Retrospective Observational Study

Chen

et al. 2020

Preprint

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Background: Subsequent intensive care unit (ICU) admissions postoperatively are not rare for patients with abdominal or thoracic aortic aneurysm (AAA or TAA), but a large-scale investigation on these patients is absent. The study aimed to investigate the characteristics and prognosis of AAA or TAA patients admitted to ICU postoperatively.Methods: Patients admitted to ICU postoperatively with a primary diagnosis of AAA or TAA were screened in the eICU Collaborative Research Database, which contained data from multiple ICUs throughout the continental United States in 2014 and 2015. Baseline characteristics and comorbidities and were investigated and factors associated with ICU mortality were explored using univariable logistic regression. Receiver operating characteristic (ROC) curve analysis was performed to evaluate the prognosis predictive performance of the widely used severity scoring system APACHE IVa.Results: 974 patients including 677 AAA and 297 TAA patients admitted to ICU postoperatively were included finally. Compared with TAA, AAA patients had a significantly higher median age (72 versus 64 years). 10.19% AAA and 2.36% TAA patients suffered from rupture of aortic aneurysm, and 89.07% AAA and 84.51% TAA patients underwent elective surgery. Hypertension requiring treatment was the most common comorbidity (57.31% for AAA and 61.95% for TAA). TAA patients had significantly higher ICU mortality (9.43% versus 2.36%) than AAA. Several factors were found to be significantly associated with ICU mortality, including urgent surgery, rupture of aortic aneurysm, TAA, and a higher APACHE IVa score on ICU admission. APACHE IVa showed a good predictive performance for ICU mortality with an area under the ROC curve of 0.9176 (95% CI 0.8789-0.9390).Conclusions: Prognosis of aortic aneurysm patients admitted to ICU postoperatively is yet to improve, and factors associated with prognosis are mainly related to the condition itself. APACHE IVa can be used for prognosis prediction.

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Postoperative Intensive Care Unit Management After Ruptured Abdominal Aortic Aneurysm

Cited by 2 publications

References 104 publications

Editor's Choice – European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms

Editor's Choice – European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms

Characteristics and Prognosis of Abdominal or Thoracic Aortic Aneurysm Patients Admitted to Intensive Care Units After Surgery Therapy: A Multicenter Retrospective Observational Study

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