Influence of preoperative parametres on survival of patients with ruptured abdominal aortic aneurysm
Autor: | S Ilijas Cinara, D Slobodan Cvetkovic, M Dusan Kostic, B Lazar Davidovic, V Zivan Maksimovic, Miroslav Markovic, Dragan Vasic, Radomir Sindjelic, L Slobodan Lotina |
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Jazyk: | angličtina |
Rok vydání: | 2003 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Ruptured aneurysms business.industry Abdominal aorta lcsh:R Diuresis lcsh:Medicine Retrospective cohort study General Medicine Hematocrit medicine.disease Abdominal aortic aneurysm Surgery Blood pressure abdominal aortic aneurysm medicine.artery medicine rupture In patient business |
Zdroj: | Srpski Arhiv za Celokupno Lekarstvo, Vol 131, Iss 11-12, Pp 432-436 (2003) |
ISSN: | 0370-8179 |
Popis: | Between 1991-2001 total number of 1058 patients was operated at the Institute of Cardiovascular Diseases of Serbian Clinical Centre due to abdominal aortic aneurysm. Of this number, 288 patients underwent urgent surgical treatment because of ruptured abdominal aortic aneurysm. The aim of this retrospective study was to show results of the early outcome of the surgical treatment of patients with ruptured abdominal aortic aneurysm, and to define relevant preopera-tive factors that influenced their survival. There were 83% male and 17% female patients in the study, mean aged 67 years. Intrahospital mortality that included intraoperative and postoperative deaths was 53.7%. Therefore, 46.3% patients survived surgical treatment and were released from hospital. Intraoperative mortality was 13.5%. Statistics showed that the gender and the age did not have any influence on mortality of our patients, as well as their co morbid conditions (p>0.05). Clinical parameters at admission in hospital such as state of consciousness systolic blood pressure, cardiac arrest and diuresis significantly influenced the outcome of treatment, as well as laboratory findings such as levels of hematocrit, hemoglobin, white blood cells, urea and creatinin (p |
Databáze: | OpenAIRE |
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