PMID- 27773597
OWN - NLM
STAT- MEDLINE
DCOM- 20170130
LR  - 20181202
IS  - 1743-9159 (Electronic)
IS  - 1743-9159 (Linking)
VI  - 36
IP  - Pt A
DP  - 2016 Dec
TI  - The beneficial place for the treatment of ruptured abdominal aortic aneurysms.
PG  - 104-108
LID - S1743-9191(16)30983-9 [pii]
LID - 10.1016/j.ijsu.2016.10.028 [doi]
AB  - OBJECTIVE: To study the beneficial place for the treatment of ruptured abdominal 
      aortic aneurysms (RAAAs). METHOD: A retrospective chart review of consecutive 
      RAAA patients was performed. Patients were divided into two groups: direct group 
      and transfer group. We retrospectively reviewed patients' hospital charts and 
      recorded various clinical factors apparent on presentation. The primary 
      consequence was mortality during hospitalization, and some other parameters such 
      as duration of intensive care unit (ICU). All patients were followed up at 1 
      month, 3 months, 6 months and one year after discharge. RESULTS: During 4-year 
      period, 56 RAAA patients were treated (24 in direct group, and 32 in transfer 
      group). Significant differences were shown for systolic blood pressure, pulse 
      oxygen saturation, hemoglobin, the time interval from diagnosis to operation 
      et al. There was no difference concerning age and comorbidity among two groups. 
      All the patients were treated by open surgical aneurysm repair. The mortality 
      rate was 68.8% ((6 + 16)/32) in transfer group and 33.3% (8/24) in direct group 
      (P = 0.00067). Both the duration of ICU stay and entire hospitalization were a 
      bit longer in the transfer group, but there was no significant difference. The 
      mean follow-up time was 25.2 +/- 12.9 months. The cumulative survival difference 
      was significant (P = 0.042) between the two groups. CONCLUSION: It is beneficial 
      that we treat RAAAs in the diagnosed hospital. The reasons are: 1) to avoid the 
      development of unstable state of aneurysm after rupturing of stable state; 2) the 
      time interval from initial symptoms to operation will be shortened.
CI  - Copyright (c) 2016 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights 
      reserved.
FAU - Qiu, Jiehua
AU  - Qiu J
AD  - Department of Vascular Surgery, The Second Affiliated Hospital of Nanchang 
      University, Nanchang 330006, Jiangxi, China.
FAU - Zhou, Weimin
AU  - Zhou W
AD  - Department of Vascular Surgery, The Second Affiliated Hospital of Nanchang 
      University, Nanchang 330006, Jiangxi, China. Electronic address: 
      drzwm2010@163.com.
FAU - Zhou, Wei
AU  - Zhou W
AD  - Department of Vascular Surgery, The Second Affiliated Hospital of Nanchang 
      University, Nanchang 330006, Jiangxi, China.
FAU - Tang, Xinhua
AU  - Tang X
AD  - Department of Vascular Surgery, The Second Affiliated Hospital of Nanchang 
      University, Nanchang 330006, Jiangxi, China.
FAU - Yuan, Qingwen
AU  - Yuan Q
AD  - Department of Vascular Surgery, The Second Affiliated Hospital of Nanchang 
      University, Nanchang 330006, Jiangxi, China.
FAU - Xiong, Jixin
AU  - Xiong J
AD  - Department of Vascular Surgery, The Second Affiliated Hospital of Nanchang 
      University, Nanchang 330006, Jiangxi, China.
LA  - eng
PT  - Journal Article
DEP - 20161020
PL  - United States
TA  - Int J Surg
JT  - International journal of surgery (London, England)
JID - 101228232
SB  - IM
MH  - Aged
MH  - Aortic Aneurysm, Abdominal/mortality/*surgery
MH  - Aortic Rupture/mortality/*surgery
MH  - Female
MH  - *Hospital Mortality
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - *Patient Transfer
MH  - Retrospective Studies
MH  - Survival Analysis
MH  - Time Factors
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Hospital
OT  - Mortality
OT  - Open surgery
OT  - Ruptured abdominal aortic aneurysm
EDAT- 2016/10/28 06:00
MHDA- 2017/01/31 06:00
CRDT- 2016/11/05 06:00
PHST- 2016/07/16 00:00 [received]
PHST- 2016/10/17 00:00 [revised]
PHST- 2016/10/18 00:00 [accepted]
PHST- 2016/10/28 06:00 [pubmed]
PHST- 2017/01/31 06:00 [medline]
PHST- 2016/11/05 06:00 [entrez]
AID - S1743-9191(16)30983-9 [pii]
AID - 10.1016/j.ijsu.2016.10.028 [doi]
PST - ppublish
SO  - Int J Surg. 2016 Dec;36(Pt A):104-108. doi: 10.1016/j.ijsu.2016.10.028. Epub 2016 
      Oct 20.