Preoperative predictors of mortality risk in ruptured abdominal aortic aneurysm

Shackleton, Christopher R.; Schechter, Martin T.; Bianco, Rodolfo; Hildebrand, Henry D.

doi:10.1016/0741-5214(87)90275-8

Cited by 49 publications

(8 citation statements)

References 13 publications

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“…9 An association between advanced age and poor outcome after rupture has been demonstrated in many studies. [10][11][12] However, although in the current series women who were not operated on were significantly older than men who were not operated on, the gender difference in selection for surgery persisted after the patients were stratified according to age. This suggests that gender differences in management are not solely attributable to age.…”

Section: Discussioncontrasting

confidence: 56%

The influence of gender on outcome after ruptured abdominal aortic aneurysm

Evans

Adam

Bradbury

2000

Journal of Vascular Surgery

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Section: Discussioncontrasting

confidence: 56%

The influence of gender on outcome after ruptured abdominal aortic aneurysm

Evans

Adam

Bradbury

2000

Journal of Vascular Surgery

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“…18 Whilst other authors have demonstrated associations between pre-operative creatinine levels and mortality in univariate analyses none of these show an association when subjected to multi-variate analysis. [19][20][21][22] Except for that by Johnston et al 23 where pre-operative creatinine greater than 114 mmol/l was an independent predictor of mortality in 147 patients undergoing ruptured AAA repair. Heller et al 15 found a higher mortality in those with pre-operative renal impairment compared to those without (as defined by ICD-9 code).…”

Section: Outcome Of Ruptured Aaa Repair In Patients Withmentioning

confidence: 99%

The Management of Abdominal Aortic Aneurysms in Patients with Concurrent Renal Impairment

Bown

Norwood

Sayers

2005

European Journal of Vascular and Endovascular Surgery

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There is little data regarding patients with end-stage renal failure and AAA although these patients appear to have a high peri-operative mortality rate. In contrast, those with renal impairment do not have a significantly higher mortality rate than those with normal renal function, rather they have a higher risk of complications associated with surgery and may require more intensive post-operative organ system support than normal patients. Many have a transient deterioration in renal function in the immediate peri-operative period that will resolve. In the case of patients with ruptured AAA, it is not clear whether pre-operative renal impairment affects mortality.

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“…3). This association between advanced age and adverse outcome after rAAA repair is well documented, 6,25,26 notably for patients aged more than the age of 76, and is included as a variable in calculating the Hardman index to predict outcome from rAAA repair 26 . The poor operative outcome of rAAA in those aged more than 80 (mortality 55.9%) has led to recommendations that this is a group for whom surgery should not be considered.…”

Section: Discussionmentioning

confidence: 99%