The Impact of Weather Factors, Moon Phases, and Seasons on Abdominal Aortic Aneurysm Rupture

Kózka, Mateusz; Bijak, Piotr; Chwała, Maciej; Mrowiecki, Tomasz; Kotynia, Maksymilian; Kaczmarek, Bogusz; Szczeklik, Michał; Lall, Kulvinder; Szczeklik, Wojciech

doi:10.1016/j.avsg.2013.03.020

Cited by 22 publications

(35 citation statements)

References 14 publications

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“…Conflicting results are found in the available literature concerning the influence of atmospheric pressure on aneurysm rupture [5][6][7][9][10][11][12][13]. The relatively small sizes of the evaluated populations and the lack of an analysis of the aneurysms' sizes did not allow determination of the influence of the atmospheric pressure on the AAA ruptures.…”

Section: Introductioncontrasting

confidence: 39%

“…Additionally, a positive correlation between the atmospheric pressure and AAARs was reported, particularly in regard to the maximum average daily atmospheric pressure in the months before the incidents [10]. Moreover, other investigators have not confirmed the potential role of low atmospheric pressure in the rupture of aneurysms [11]. In 2014, Kózka et al [11] retrospectively analysed 530 subjects with AAAR over a 10-year observation period in regard to weather events, atmospheric pressure, temperature, and The influence of atmospheric pressure on aortic aneurysm rupture -is the diameter of the aneurysm important?…”

Section: Discussionmentioning

confidence: 99%

“…It has been suggested that episodes of lower atmospheric pressure are related to the most frequent aneurysm ruptures; however, recently-published papers dispute this idea [10][11][12][13]. In 2003, Bown et al [19] described a correlation between a lower average daily atmospheric pressure in the months preceding the incidents of AAAR and the risk of AAAR.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, other investigators have not confirmed the potential role of low atmospheric pressure in the rupture of aneurysms [11]. In 2014, Kózka et al [11] retrospectively analysed 530 subjects with AAAR over a 10-year observation period in regard to weather events, atmospheric pressure, temperature, and The influence of atmospheric pressure on aortic aneurysm rupture -is the diameter of the aneurysm important?…”

Section: Discussionmentioning

confidence: 99%

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The influence of atmospheric pressure on aortic aneurysm rupture — is the diameter of the aneurysm important?

et al. 2015

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A b s t r a c tBackground: The rate of aortic aneurysm rupture correlates with the aneurysm's diameter, and a higher rate of rupture is observed in patients with larger aneurysms. According to the literature, contradictory results concerning the relationship between atmospheric pressure and aneurysm size have been reported. Aim:In this paper, we assessed the influence of changes in atmospheric pressure on abdominal aneurysm ruptures in relationship to the aneurysm's size. Methods:The records of 223 patients with ruptured abdominal aneurysms were evaluated. All of the patients had been admitted to the department in the period 1997-2007 from the Silesia region. The atmospheric pressures on the day of the rupture and on the days both before the rupture and between the rupture events were compared. The size of the aneurysm was also considered in the analysis.Results: There were no statistically significant differences in pressure between the days of rupture and the remainder of the days within an analysed period. The highest frequency of the admission of patients with a ruptured aortic aneurysm was observed during periods of winter and spring, when the highest mean values of atmospheric pressure were observed; however, this observation was not statistically confirmed. A statistically non-significant trend towards the higher rupture of large aneurysms (> 7 cm) was observed in the cases where the pressure increased between the day before the rupture and the day of the rupture. This trend was particularly pronounced in patients suffering from hypertension (p = 0.1). Conclusions:The results of this study do not support the hypothesis that there is a direct link between atmospheric pressure values and abdominal aortic aneurysm ruptures.

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Section: Introductioncontrasting

confidence: 39%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The influence of atmospheric pressure on aortic aneurysm rupture — is the diameter of the aneurysm important?

et al. 2015

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“…Patients with ruptured abdominal aortic aneurysms and their overall mortality rate within a ten-year span were analyzed by Kozka, et al and whereas the mean atmospheric pressure and other weather factors, including phases of the moon, did not correlate with ruptured abdominal aortic aneurysms occurrence or its mortality, the mortality was significantly higher during national holidays and weekends in comparison to weekdays [17].…”

Section: Discussionmentioning

confidence: 99%

Influence of Weekday of Surgery on Operative Complications. An Analysis of 25.000 Surgical Procedures

Müller¹,

Strauchmann²,

Katou³

et al. 2017

Clin Res Trial

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Background: Surgical procedures need to be performed safely on every day and night of the week. Operations on certain weekdays have recently been shown to be associated with increased risk. Patient concerns about their safety have to be taken seriously when surgery needs to be planned. Many patients also believe in negative effects of lunar constellations or Friday 13 th . To establish a scientific basis for reassurement, we retrospectively analyzed surgical complications at a maximum care center, addressing these issues.

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Seasonal incidence of ruptured abdominal aortic aneurysm and the influence of atmospheric pressure: a systematic review and meta-analysis

Zhou

et al. 2018

Int J Biometeorol

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Ruptured abdominal aortic aneurysm (rAAA) is a life-threatening condition with a high mortality rate. Seasonal variations in the incidence of rAAA and the influence of atmospheric pressure have been studied throughout decades; however, the conclusions are contradictory. Therefore, we aimed to conduct a meta-analysis and systematic review of literature on seasonal variations in rAAA incidence and the influence of atmospheric pressure. Studies investigating seasonal variations in rAAA incidence and influence of atmospheric pressure were retrieved. For dichotomous data, we generated risk ratios (RRs) and 95% confidence intervals (CIs) for rAAA incidence compared among seasons. The studies were subdivided according to latitude, elevation, and climatic types, for subgroup comparisons. Studies reporting monthly incidence and seasonal mortality were further investigated. For continuous data, standardized mean differences (SMDs) and 95% CIs were generated for atmospheric pressure comparisons. Twenty-four eligible studies were included, comprising a total of 38,506 patients with rAAA. Pooled rAAA incidence was 25% in spring, 23% in summer, 26% in autumn, and 26% in winter. Pooled analysis demonstrated a statistically significant higher rAAA incidence in winter than in summer (RR 1.10, P = 0.04) and in autumn than in summer (RR 1.11, P < 0.00001). However, there was no statistically significant difference among other seasons. In the study of the influence of atmospheric pressure, no statistically significant difference was observed. In conclusion, our study revealed a higher incidence of rAAA in autumn and winter than in summer; however, atmospheric pressure was found to exert no influence.

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The Impact of Weather Factors, Moon Phases, and Seasons on Abdominal Aortic Aneurysm Rupture

Cited by 22 publications

References 14 publications

The influence of atmospheric pressure on aortic aneurysm rupture — is the diameter of the aneurysm important?

The influence of atmospheric pressure on aortic aneurysm rupture — is the diameter of the aneurysm important?

Influence of Weekday of Surgery on Operative Complications. An Analysis of 25.000 Surgical Procedures

Seasonal incidence of ruptured abdominal aortic aneurysm and the influence of atmospheric pressure: a systematic review and meta-analysis

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