کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2887680 1574251 2009 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Open Repair for Ruptured Abdominal Aortic Aneurysm: Is It Possible to Predict Survival?
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Open Repair for Ruptured Abdominal Aortic Aneurysm: Is It Possible to Predict Survival?
چکیده انگلیسی

The aim of the study was to determine variables that could be used to predict survival in patients with ruptured abdominal aortic aneurysm (RAAA) and to assess the accuracy of the Glasgow Aneurysm Score (GAS) and the Acute Physiology Chronic Health Evaluation II (APACHE-II). From January 1998 to July 2006, 103 patients underwent operations for RAAA. For each patient, 44 variables were retrospectively recorded in a database. Data were analyzed with univariate and multivariate methods. In the univariate analysis significant predictors of death were hypotension (p = 0.001), preexisting peripheral vascular disease (p < 0.001), renal insufficiency (p = 0.037), chronic obstructive pulmonary disease (p = 0.028), level of HCO3- (p < 0.001), intraperitoneal rupture (p = 0.001), blood transfused (p < 0.001), cardiac complications (p < 0.001), and APACHE-II score (p = 0.001). Multivariate analysis confirmed statistical significance for coexisting peripheral vascular disease (p < 0.001), diastolic blood pressure at admission <60 mm Hg (p = 0.039), APACHE-II score >18.5 (p = 0.025), HCO3- <21 mg/dL (p < 0.001), and intraperitoneal rupture of the aneurysm (p = 0.011) as predictors of death. Results of the study suggested that different factors can be helpful in identifying those patients whose operative risk is prohibitive. APACHE-II, contrary to GAS, is an accurate system to predict postoperative death after repair for RAAA.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Annals of Vascular Surgery - Volume 23, Issue 2, March 2009, Pages 159–166
نویسندگان
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