کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2914634 1575545 2007 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Glasgow Aneurysm Score Predicts the Outcome after Emergency Open Repair of Symptomatic, Unruptured Abdominal Aortic Aneurysms
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Glasgow Aneurysm Score Predicts the Outcome after Emergency Open Repair of Symptomatic, Unruptured Abdominal Aortic Aneurysms
چکیده انگلیسی

ObjectiveTo determine the predictor factors of in-hospital postoperative mortality in patients presenting with symptomatic but not ruptured abdominal aortic aneurysm (AAA) at our institution.Patients and methodsForty-two patients who underwent urgent open repair for symptomatic, non-ruptured AAA were evaluated retrospectively.ResultsFive patients (11.9%) died during the in-hospital stay. History of coronary artery disease (p = 0.014), cerebrovascular diseases (p = 0.015), renal failure according to Glasgow Aneurysm Score (GAS) criteria (p = 0.001), serum creatinine concentration (p = 0.026), and the GAS (p = 0.008) were predictive of postoperative death. The ROC curve analysis showed that the Glasgow Aneurysm Score had an area under the curve of 0.870 (95%C.I. 0.71–1, S.E. 0.08, p = 0.008), and its best cut-off value in predicting postoperative death was 90.0 (specificity 89.2%, sensitivity 80.0%). The postoperative mortality rate of patients with a Glasgow Aneurysm Score below 90 was 2.9%, whereas it was 50% for those with a score ≥ 90 (p = 0.003, O.R. 33.0).ConclusionThis study shows that the Glasgow Aneurysm Score is a good predictor of postoperative mortality and morbidity after urgent repair of symptomatic, non-ruptured AAA and can be useful in identifying those patients whose operative risk is prohibitive. Its simplicity makes it a clinically important tool, particularly, in the emergency setting. Patients having a score less than 90 can safely undergo urgent open repair. Thorough evaluation and improvement of preoperative status followed preferably by an endovascular repair is indicated for those with a score ≥ 90.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Vascular and Endovascular Surgery - Volume 33, Issue 3, March 2007, Pages 272–276
نویسندگان
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