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M. Reichart, R. Geelkerken, A. Huisman, R. Det, P. Smit, E. Volker (2003)
Ruptured abdominal aortic aneurysm: endovascular repair is feasible in 40% of patients.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 26 5
M. Bown, N. Cooper, A. Sutton, D. Prytherch, M. Nicholson, P. Bell, R. Sayers (2004)
The post-operative mortality of ruptured abdominal aortic aneurysm repair.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 27 1
M. Heikkinen, J. Salenius, O. Auvinen (2002)
Ruptured abdominal aortic aneurysm in a well-defined geographic area.Journal of vascular surgery, 36 2
I. Kantonen, M. Lepäntalo, M. Brommels, M. Luther, J. Salenius, K. Ylönen (1999)
Mortality in Ruptured Abdominal Aortic AneurysmsEuropean Journal of Vascular and Endovascular Surgery, 17
Jae-Sung Cho, P. Gloviczki, Eugenio Martelli, W. Harmsen, Michael Landis, K. Cherry, T. Bower, J. Hallett (1998)
Long-term survival and late complications after repair of ruptured abdominal aortic aneurysms.Journal of vascular surgery, 27 5
Bradbury (1997)
Twelve-year experience of management of rupture abdominal aortic aneurysmBr J Surg, 84
M. Alonso-Pérez, R. Segura, J. Sánchez, G. Sicard, Á. Barreiro, M. García, P. Díaz, X. Barral, M. Cairols, E. Hernandez, A. Moreira, T. Bonamigo, S. Llagostera, M. Matas, N. Allegue, A. Krämer, R. Mertens (2001)
Factors Increasing the Mortality Rate for Patients with Ruptured Abdominal Aortic AneurysmsAnnals of Vascular Surgery, 15
A. Jenkins, C. Ruckley, B. Nolan (1978)
Ruptured abdominal aortic aneurysmBritish Journal of Surgery, 73
Korhonen (2003)
Long-term survival and health-related quality of life of patients with ruptured abdominal aortic aneurysmEur J Vasc Endovasc Surg, 25
N. Peppelenbosch, N. Yilmaz, C. Marrewijk, Jacob Buth, P. Cuypers, L. Duijm, A. Tielbeek (2003)
Emergency treatment of acute symptomatic or ruptured abdominal aortic aneurysm. Outcome of a prospective intent-to-treat by EVAR protocol.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 26 3
M. Marković, L. Davidovic, Z. Maksimovic, D. Kostić, I. Činara, S. Cvetković, R. Sindjelić, P. Seferovic, A. Ristic (2004)
Ruptured Abdominal Aortic AneurysmHerz, 29
J. Knol, H. Ceuppens (2002)
Emergency Aorto-Iliac Aneurysm Surgery with Low Mortality and MorbidityActa Chirurgica Belgica, 102
B. Ch, Stubbé Lt (1981)
Twenty years' experience of surgical treatment of the ruptured atherosclerotic aneurysm of the abdominal aorta.The Netherlands journal of surgery, 33
R. Sayers, Molly Thompson, A. Nasim, P. Healey, N. Taub, P. Bell (1997)
Original ArticleSurgical management of 671 abdominal aortic aneurysms: A 13 year review from a single centreEuropean Journal of Vascular and Endovascular Surgery, 13
M. Bown, A. Sutton, P. Bell, R. Sayers (2002)
A meta‐analysis of 50 years of ruptured abdominal aortic aneurysm repairBritish Journal of Surgery, 89
J. Höjer (1992)
Diagnosis of acute symptomatic aortic aneurysm—ultrasonography an important toolJournal of Internal Medicine, 232
K. Cassar, D. Godden, J. Duncan (2001)
Community mortality after ruptured abdominal aortic aneurysm is unrelated to the distance from the surgical centreBritish Journal of Surgery, 88
T. Forbes, G. Rose, K. Harris (2002)
A CUSUM Analysis of Ruptured Abdominal Aortic Aneurysm RepairAnnals of Vascular Surgery, 16
A. Bradbury, K. Makhdoomi, D. Adam, J. Murie, A. Jenkins, C. Ruckley (1997)
Twelve‐year experience of the management of ruptured abdominal aortic aneurysmBritish Journal of Surgery, 84
Cardiopulmonary complication after ruptured abdominal aortic aneurysm (rAAA) repair is an important cause of mortality. Early tracheostomy promotes patient recovery from respiratory morbidities. A policy of routine immediate tracheostomy was adopted in 1999 at our institution. This study investigates the trend of hospital mortality of rAAA patients over 12 years with particular reference to immediate tracheostomy. Consecutive rAAA patients operated during 1993-2004 were divided into two groups (first group, 1993-1998; second group, 1999-2002). Intra- and postoperative care was the same for all patients except that immediate tracheostomy was performed routinely in the second group and only selectively in the first. Hospital mortality of the two groups was examined. Patient characteristics, biochemical parameters, aneurysm feature, operative details, and clinical outcomes of the two groups (excluding 48 hr perioperative mortalities) were compared to identify prognostic factors of hospital mortality. Sixty-three patients were operated during the study period. The overall hospital mortality for the first and second groups was 62.5% (20/32) and 22.6% (7/31) (p = 0.001), respectively. Excluding the 48 hr mortalities, 57.1% (12, n = 21) of patients in the first group and 85.7% (24, n = 28) of those in the second group survived to be discharged from hospital (p = 0.048). The pre-, intra-, and postoperative parameters were comparable between the two groups. Immediate tracheostomy was performed for all patients in the second group and only 52.4% (11) in the first group. Male gender, high creatinine level on presentation, postoperation cardiac morbidity, renal failure, and bowel ischemia were found to be associated with a higher mortality. Immediate tracheostomy is a significant factor associated with improved survival. In conclusion, a significant improvement of rAAA patients’ in-hospital mortality was achieved during the study period. Tracheostomy performed immediately following rAAA repair is associated with better hospital survival.
Annals of Vascular Surgery – Springer Journals
Published: Mar 24, 2006
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