PMID- 21336876
OWN - NLM
STAT- MEDLINE
DCOM- 20111206
LR  - 20211020
IS  - 2038-131X (Print)
IS  - 2038-3312 (Electronic)
IS  - 2038-131X (Linking)
VI  - 63
IP  - 1
DP  - 2011 Mar
TI  - Open surgery in endovascular aneurysm repair era: simplified classification in 
      two risk groups owing to factors affecting mortality in 137 ruptured abdominal 
      aortic aneurysms (RAAAs).
PG  - 39-44
LID - 10.1007/s13304-011-0053-z [doi]
AB  - Our objective is to identify in 137 true RAAAs operated consecutively in open 
      surgery: (1) diagnostic therapeutic aspects capable of influencing results, (2) 
      risk classes with different prognosis, (3) any situations where the prognosis is 
      so negative that surgery is not recommended. The relationship of 16 anamnestic, 
      clinical and technical parameters prospectively collected with 30-day mortality 
      was retrospectively evaluated by uni- and multivariate analyses. Thirty-day 
      mortality was 37%. The univariate analysis identified as mortality predictors 
      Hb </= 8 g/dl and circulatory shock at hospitalisation, but following the 
      multivariate analysis only circulatory shock was a certainly significant 
      risk-factor. The cumulative effect on mortality of the two parameters identified 
      at univariate analysis translates into a statistically significant difference in 
      mortality between two groups of patients: A (no or just one risk-factor) and B 
      (two risk-factors). To reinstate euvolemia, rather than adequate haemoglobin 
      values, improves the chances of success. A simple prognostic index into two risk 
      classes is feasible, but abstention from surgery is not justified in any type of 
      patient.
FAU - Bonardelli, Stefano
AU  - Bonardelli S
AD  - Department of Medical and Surgical Sciences, Unit and Chair of Vascular Surgery, 
      Universita degli Studi, A.O. Spedali Civili Brescia, Italy.
FAU - Cervi, Edoardo
AU  - Cervi E
FAU - Maffeis, Roberto
AU  - Maffeis R
FAU - Nodari, Franco
AU  - Nodari F
FAU - De Lucia, Maurizio
AU  - De Lucia M
FAU - Guadrini, Cristina
AU  - Guadrini C
FAU - Viotti, Fabio
AU  - Viotti F
FAU - Portolani, Nazario
AU  - Portolani N
FAU - Giulini, Stefano Maria
AU  - Giulini SM
LA  - eng
PT  - Journal Article
DEP - 20110219
PL  - Italy
TA  - Updates Surg
JT  - Updates in surgery
JID - 101539818
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Aneurysm, Ruptured/*mortality/*surgery
MH  - Aortic Aneurysm, Abdominal/*mortality/*surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prognosis
MH  - Prospective Studies
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Risk Factors
MH  - Treatment Outcome
PMC - PMC3047051
EDAT- 2011/02/22 06:00
MHDA- 2011/12/13 00:00
PMCR- 2011/02/19
CRDT- 2011/02/22 06:00
PHST- 2010/09/13 00:00 [received]
PHST- 2011/01/31 00:00 [accepted]
PHST- 2011/02/22 06:00 [entrez]
PHST- 2011/02/22 06:00 [pubmed]
PHST- 2011/12/13 00:00 [medline]
PHST- 2011/02/19 00:00 [pmc-release]
AID - 53 [pii]
AID - 10.1007/s13304-011-0053-z [doi]
PST - ppublish
SO  - Updates Surg. 2011 Mar;63(1):39-44. doi: 10.1007/s13304-011-0053-z. Epub 2011 Feb 
      19.