Ruptured Abdominal Aortic Aneurysms: Selecting Patients for Surgery

Autor: Candace M. Cosgrove, Stanley W. Ashley, A. J. Walker, S.E. Prance, D C Wilkins, Y. G. Wilson
Rok vydání: 1999
Předmět:
Zdroj: European Journal of Vascular and Endovascular Surgery. 17:129-132
ISSN: 1078-5884
Popis: Objectives: mortality from ruptured abdominal aortic aneurysm (RAAA) remains high. Despite this, withholding surgery on poor-prognosis patients with RAAA may create a difficult dilemma for the surgeon. Hardmanet al. identified five independent, preoperative risk factors associated with mortality and proposed a model for preoperative patient selection. The aim of this study was to test the validity of the same model in an independent series of RAAA patients.Methodsa consecutive series of patients undergoing surgery for RAAA was analysed retrospectively by case-note review. Thirty-day operative mortality and the presence of the five risk factors: age (>76 years), creatinine (Cr) (>190μmol/l), haemoglobin (Hb) (
Databáze: OpenAIRE