PMID- 22035897
OWN - NLM
STAT- MEDLINE
DCOM- 20120227
LR  - 20131022
IS  - 2309-835X (Electronic)
IS  - 2072-0939 (Linking)
VI  - 34
IP  - 5
DP  - 2011 Sep-Oct
TI  - Predictors of outcome after open repair of ruptured abdominal aortic aneurysms.
PG  - 520-7
LID - 3405/340509 [pii]
AB  - BACKGROUND: To determine predictors associated with early hospital death, 30-day 
      mortality, and long-term survival after open surgical treatment of ruptured 
      abdominal aortic aneurysms (RAAAs). METHODS: A retrospective chart review of 127 
      consecutive patients who received open surgical treatment of a RAAA at Chang Gung 
      Memorial Hospital, Taiwan, from February 1994 to May 2007. Data recorded included 
      patient characteristics, medical history, perioperative variables, and outcomes. 
      RESULTS: There were 104 men and 23 women with a mean age of 70 -/+ 12 years in the 
      analysis. Patients with RAAAs were classified into two groups; 100 (78.7%) 
      patients were classified as group I (hemodynamically stable), and 27 (21.3%) 
      patients were classified as group II (hemodynamically unstable at arrival). The 
      30-day mortality was 22% for group I and 74.1% for group II. Multivariate 
      analysis identified age > 75 years old (odds ratio [OR], 0.083; 95% confidence 
      interval [CI] 0.02-0.36), hemodynamically unstable state (OR, 0.081; 95% CI 
      0.016-0.4), blood transfusion > 5 L (OR, 0.14; 95% CI 0.038-0.54), 
      intraperitoneal rupture (OR, 7.2; 95% CI 1.4-36), urine output < 0.5 mL/kg/min 
      (OR, 22; 95% CI 4.6-110), and suprarenal cross-clamping (OR, 0.083; 95% CI 
      0.019-0.36) as incremental risk factors for 30-day mortality. CONCLUSION: 
      Significant predictors of mortality in patients with RAAAs include 
      hemodynamically unstable state, age > 75 years old, intraperitoneal rupture, low 
      intraoperative urine output, and suprarenal cross-clamping.
FAU - Li, Hao-Jui
AU  - Li HJ
AD  - Division of Vascular Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung 
      University College of Medicine, Taoyuan, Taiwan. r2917@ms16.hinet.net
FAU - Kao, Tsung-Chi
AU  - Kao TC
FAU - Liu, Dah-Wel
AU  - Liu DW
FAU - Yu, Sheng-Yueh
AU  - Yu SY
FAU - Ko, Po-Jen
AU  - Ko PJ
FAU - Hsieh, Hung-Chang
AU  - Hsieh HC
LA  - eng
PT  - Journal Article
PL  - China (Republic : 1949- )
TA  - Chang Gung Med J
JT  - Chang Gung medical journal
JID - 101088034
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Aortic Aneurysm, Abdominal/mortality/*surgery
MH  - Aortic Rupture/mortality/*surgery
MH  - *Blood Vessel Prosthesis Implantation/adverse effects
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Sex Characteristics
MH  - Treatment Outcome
EDAT- 2011/11/01 06:00
MHDA- 2012/03/01 06:00
CRDT- 2011/11/01 06:00
PHST- 2011/11/01 06:00 [entrez]
PHST- 2011/11/01 06:00 [pubmed]
PHST- 2012/03/01 06:00 [medline]
AID - 3405/340509 [pii]
PST - ppublish
SO  - Chang Gung Med J. 2011 Sep-Oct;34(5):520-7.