PMID- 8318385
OWN - NLM
STAT- MEDLINE
DCOM- 19930803
LR  - 20041117
IS  - 0890-5096 (Print)
IS  - 0890-5096 (Linking)
VI  - 7
IP  - 3
DP  - 1993 May
TI  - Ruptured abdominal aortic aneurysms in a private hospital: a decade's experience 
      (1980-1989).
PG  - 225-8
AB  - Despite refinements in elective resection of abdominal aortic aneurysms, 
      morbidity and mortality rates for ruptured abdominal aortic aneurysms (RAAAs) 
      remain high. Between January 1, 1980 and December 31, 1989, we treated 208 
      patients with RAAAs whose mean age was 70 years. The overall mortality rate was 
      49.5%. Logistic regression analysis showed that three factors correlated with 
      predicted patient survival. Patients < 70 years old had a survival rate of 65.7% 
      compared with a survival rate of 37.4% in patients > 70 years old (p < 0.001). 
      Among "stable" patients (preoperative blood pressure consistently > 90 mm Hg), 
      88.9% survived compared with 40.9% of "unstable" patients (blood pressure < 90 mm 
      Hg) (p < 0.001). Of the patients with free intraperitoneal rupture, 38.3% 
      survived compared with a survival rate of 79.6% of patients with rupture confined 
      to the retroperitoneum (p < 0.001). Despite a high overall mortality rate in 
      patients with RAAAs, surgical intervention remains the only hope for survival. We 
      continue to advocate an aggressive surgical approach in this group of patients.
FAU - McCready, R A
AU  - McCready RA
AD  - Department of Cardiovascular Surgery and Methodist Hospital, Indianapolis, Ind.
FAU - Siderys, H
AU  - Siderys H
FAU - Pittman, J N
AU  - Pittman JN
FAU - Herod, G T
AU  - Herod GT
FAU - Halbrook, H G
AU  - Halbrook HG
FAU - Fehrenbacher, J W
AU  - Fehrenbacher JW
FAU - Beckman, D J
AU  - Beckman DJ
FAU - Hormuth, D A
AU  - Hormuth DA
FAU - Nelson, D
AU  - Nelson D
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Ann Vasc Surg
JT  - Annals of vascular surgery
JID - 8703941
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Aortic Aneurysm, Abdominal/mortality/*surgery
MH  - Aortic Rupture/etiology/mortality/*surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Survival Rate
EDAT- 1993/05/01 00:00
MHDA- 1993/05/01 00:01
CRDT- 1993/05/01 00:00
PHST- 1993/05/01 00:00 [pubmed]
PHST- 1993/05/01 00:01 [medline]
PHST- 1993/05/01 00:00 [entrez]
AID - S0890-5096(06)60253-7 [pii]
AID - 10.1007/BF02000246 [doi]
PST - ppublish
SO  - Ann Vasc Surg. 1993 May;7(3):225-8. doi: 10.1007/BF02000246.