PMID- 2047027
OWN - NLM
STAT- MEDLINE
DCOM- 19910712
LR  - 20041117
IS  - 0028-7628 (Print)
IS  - 0028-7628 (Linking)
VI  - 91
IP  - 3
DP  - 1991 Mar
TI  - Experience in managing 70 patients with ruptured abdominal aortic aneurysms.
PG  - 97-100
AB  - Seventy cases of ruptured abdominal aortic aneurysms (RAAAs) repaired over a 
      14-year period from 1975 to 1989 were analyzed. Age, heart disease, chronic 
      obstructive pulmonary disease (COPD), hypertension, diabetes, or specific 
      postoperative complications did not correlate with mortality. If the time 
      interval from arrival at the hospital to skin incision (emergency room (ER) or 
      operating room (OR] was less than six hours, there was no correlation with 
      survival. Mortality correlated significantly with admitting systolic blood 
      pressure, blood pressure at the time of skin incision, a comparison of ER to OR 
      time of less than or more than six hours, blood loss of less than compared to 
      more than ten units, and time in the operating room of less than five hours 
      compared to more than five hours. Both time in the operating room and blood loss 
      correlated with technical problems. Prior to 1985, 11 general and vascular 
      surgeons had repaired RAAAs with a mortality of 76%. Since 1985, six vascular 
      surgeons repaired RAAAs with a significant decrease in mortality (54%). Our data 
      indicate that patients profoundly hypotensive on admission or at the time of 
      incision are unlikely to survive regardless of other factors; patients with a 
      systolic blood pressure greater than 100 mm Hg have the best chance of survival; 
      a delay of up to six hours prior to surgery in patients with a systolic blood 
      pressure greater than 100 mm Hg does not increase mortality; and a smaller number 
      of surgeons operating on RAAAs increases survival.(ABSTRACT TRUNCATED AT 250 
      WORDS)
FAU - Cohen, J R
AU  - Cohen JR
AD  - Department of Surgery, Long Island Jewish Medical Center, New Hyde Park, NY 
      11042.
FAU - Birnbaum, E
AU  - Birnbaum E
FAU - Kassan, M
AU  - Kassan M
FAU - Wise, L
AU  - Wise L
LA  - eng
PT  - Journal Article
PL  - United States
TA  - N Y State J Med
JT  - New York state journal of medicine
JID - 0401064
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Aorta, Abdominal/surgery
MH  - Aortic Aneurysm/mortality/*surgery
MH  - Aortic Rupture/mortality/*surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Postoperative Complications/mortality
MH  - Survival Rate
EDAT- 1991/03/01 00:00
MHDA- 1991/03/01 00:01
CRDT- 1991/03/01 00:00
PHST- 1991/03/01 00:00 [pubmed]
PHST- 1991/03/01 00:01 [medline]
PHST- 1991/03/01 00:00 [entrez]
PST - ppublish
SO  - N Y State J Med. 1991 Mar;91(3):97-100.