Treatment of Ruptured Abdominal Aortic Aneurysm, a Permanent Challenge or a Waste of Resources? Prediction of Outcome Using a Multi-organ-dysfunction Score

Autor: H. Hakki, Matthias Widmer, H. W. Kniemeyer, T. Kessler, P. U. Reber, Hans-Beat Ris
Rok vydání: 2000
Předmět:
Zdroj: European Journal of Vascular and Endovascular Surgery. 19(2):190-196
ISSN: 1078-5884
DOI: 10.1053/ejvs.1999.0980
Popis: Objectives: in a retrospective study, attempts have been made to identify individual organ-dysfunction risk profiles influencing the outcome after surgery for ruptured abdominal aortic aneurysms. Methods: out of 235 patients undergoing graft replacement for abdominal aortic aneurysms, 57 (53 men, four women, mean age 72 years [s.d. 8.8]) were treated for ruptured aneurysms in a 3-year period. Forty-eight preoperative, 13 intraoperative and 34 postoperative variables were evaluated statistically. A simple multi-organ dysfunction (MOD) score was adopted.Results: the perioperative mortality was 32%. Three patients died intraoperatively, four within 48 h and 11 died later. A significant influence for pre-existing risk factors was identified only for cardiovascular diseases. Multiple linear-regression analysis indicated that a haemoglobin
Databáze: OpenAIRE