Aortic aneurysm disease vs. aortic occlusive disease: differences in outcome and intensive care resource utilisation after elective surgery: an observational study
| Autor: | Ebbe Rønholm, J Bisgaard, Torben Gilsaa, Palle Toft |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Critical Care Arterial Occlusive Diseases Cohort Studies Aortic aneurysm Aneurysm Postoperative Complications Aortic Aneurysm Abdominal/mortality Intensive care medicine Humans Hospital Mortality Prospective Studies Registries Elective surgery Prospective cohort study Aged Hospital Mortality/trends Elective Surgical Procedures/mortality business.industry Critical Care/statistics & numerical data Organ dysfunction Postoperative Complications/diagnosis Perioperative Middle Aged medicine.disease Abdominal aortic aneurysm Surgery Intensive Care Units Anesthesiology and Pain Medicine Treatment Outcome Elective Surgical Procedures Intensive Care Units/statistics & numerical data cardiovascular system Arterial Occlusive Diseases/mortality Female medicine.symptom business Aortic Aneurysm Abdominal |
| Zdroj: | Bisgaard, J, Gilsaa, T, Rønholm, E & Toft, P 2013, ' Aortic aneurysm disease vs. aortic occlusive disease-differences in outcome and intensive care resource utilisation after elective surgery : an observational study ', European Journal of Anaesthesiology. Supplement, vol. 30, no. 2, pp. 65-72 . https://doi.org/10.1097/EJA.0b013e32835b9d7b |
| ISSN: | 1365-2346 |
| DOI: | 10.1097/EJA.0b013e32835b9d7b |
| Popis: | CONTEXT Abdominal aortic surgery is a high-risk procedure, with aortic aneurysm and aortic occlusive diseases being the main indications. These groups are often regarded as having equal perioperative risk profiles. Previous reports suggest that the haemodynamic and inflammatory response to aortic clamping is more pronounced in patients with aortic aneurysm disease, which may affect outcome. OBJECTIVES The aim of this observational cohort study was to evaluate outcome after open elective abdominal aortic surgery, hypothesising a higher 30-day mortality, a higher incidence of postoperative organ dysfunction and a longer length of stay in patients with aortic aneurysm compared with aortic occlusive disease. DESIGN Cohort observational study based on prospective registrations from national databases. SETTING Eight Danish hospitals, including four university and four non-university centres, from 1 January 2007 to 1 March 2010. PATIENTS One thousand two hundred and ninety-three patients scheduled for primary open elective, aortoiliac bypass or aortofemoral bypass procedures or abdominal aortic aneurysm repair. MAIN OUTCOME MEASURES Mechanical ventilation, acute dialysis, use of vasopressors or inotropes, ICU stay more than 24 h, hospital length of stay and mortality. RESULTS Compared with aortic occlusive disease, more patients with aortic aneurysm disease had ICU stays more than 24 h (62 vs. 45%, P |
| Databáze: | OpenAIRE |
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