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 |
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Rok vydání: | 2000 |
Předmět: |
Male
medicine.medical_specialty Multiple Organ Failure Ischemia Ruptured Aortic Aneurysm Aneurysm Ruptured Statistics Nonparametric Risk Factors Ruptured abdominal aortic aneurysm medicine Humans Multi-organ-failure score Mortality Aged Retrospective Studies Cause of death Medicine(all) Chi-Square Distribution business.industry Retrospective cohort study Complications Perioperative medicine.disease Prognosis Surgery Multi organ dysfunction Treatment Outcome Blood pressure Female Cardiology and Cardiovascular Medicine business Aortic Aneurysm Abdominal |
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 |
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