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Factors Affecting the Postoperative Mortality in the Ruptured Abdominal Aortic Aneurysm

BACKGROUND: Although patients with a ruptured abdominal aortic aneurysm (RAAA) often reach the hospital alive, the perioperative mortality is still very high. We retrospectively reviewed thirty patients who underwent repair of RAAA to identify the factors affecting postoperative mortality in a singl...

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Autores principales: Ahn, Hyo Yeong, Chung, Sung Woon, Lee, Chung Won, Kim, Min Su, Kim, Sangpil, Kim, Chang Won
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society for Thoracic and Cardiovascular Surgery 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3413827/
https://www.ncbi.nlm.nih.gov/pubmed/22880167
http://dx.doi.org/10.5090/kjtcs.2012.45.4.230
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author Ahn, Hyo Yeong
Chung, Sung Woon
Lee, Chung Won
Kim, Min Su
Kim, Sangpil
Kim, Chang Won
author_facet Ahn, Hyo Yeong
Chung, Sung Woon
Lee, Chung Won
Kim, Min Su
Kim, Sangpil
Kim, Chang Won
author_sort Ahn, Hyo Yeong
collection PubMed
description BACKGROUND: Although patients with a ruptured abdominal aortic aneurysm (RAAA) often reach the hospital alive, the perioperative mortality is still very high. We retrospectively reviewed thirty patients who underwent repair of RAAA to identify the factors affecting postoperative mortality in a single hospital. MATERIALS AND METHODS: Between September 2007 and May 2011, thirty patients with RAAA underwent emergent surgery (n=27) or endovascular aneurysm repair (n=3). Their medical records were retrospectively reviewed regarding three categories: 1) preoperative patient status: age, gender, vital signs, serum creatinine, blood urea nitrogen, hematocrit, and hemoglobin level: 2) aneurysmal status: size, type, and rupture status; and 3) operative factors: interval time to operating room, operative duration, and amount of perioperative transfusion. RESULTS: The 30-day postoperative mortality rate was 13.3% (4/30); later mortality was 3.3% (1/30). On multivariate analysis, the initial diastolic blood pressure (BP), interval time to operating room and amount of preoperative packed cell transfusion were statistically significantly linked with postoperative mortality (p<0.05). CONCLUSION: In this study, preoperative diastolic BP, preoperative packed cell transfusion amount and interval time between arrival and entry to operating room were significantly associated with postoperative mortality. It is important to prevent hemorrhage as quickly as possible.
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spelling pubmed-34138272012-08-09 Factors Affecting the Postoperative Mortality in the Ruptured Abdominal Aortic Aneurysm Ahn, Hyo Yeong Chung, Sung Woon Lee, Chung Won Kim, Min Su Kim, Sangpil Kim, Chang Won Korean J Thorac Cardiovasc Surg Clinical Research BACKGROUND: Although patients with a ruptured abdominal aortic aneurysm (RAAA) often reach the hospital alive, the perioperative mortality is still very high. We retrospectively reviewed thirty patients who underwent repair of RAAA to identify the factors affecting postoperative mortality in a single hospital. MATERIALS AND METHODS: Between September 2007 and May 2011, thirty patients with RAAA underwent emergent surgery (n=27) or endovascular aneurysm repair (n=3). Their medical records were retrospectively reviewed regarding three categories: 1) preoperative patient status: age, gender, vital signs, serum creatinine, blood urea nitrogen, hematocrit, and hemoglobin level: 2) aneurysmal status: size, type, and rupture status; and 3) operative factors: interval time to operating room, operative duration, and amount of perioperative transfusion. RESULTS: The 30-day postoperative mortality rate was 13.3% (4/30); later mortality was 3.3% (1/30). On multivariate analysis, the initial diastolic blood pressure (BP), interval time to operating room and amount of preoperative packed cell transfusion were statistically significantly linked with postoperative mortality (p<0.05). CONCLUSION: In this study, preoperative diastolic BP, preoperative packed cell transfusion amount and interval time between arrival and entry to operating room were significantly associated with postoperative mortality. It is important to prevent hemorrhage as quickly as possible. Korean Society for Thoracic and Cardiovascular Surgery 2012-08 2012-08-03 /pmc/articles/PMC3413827/ /pubmed/22880167 http://dx.doi.org/10.5090/kjtcs.2012.45.4.230 Text en © The Korean Society for Thoracic and Cardiovascular Surgery. 2012. All right reserved. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Research
Ahn, Hyo Yeong
Chung, Sung Woon
Lee, Chung Won
Kim, Min Su
Kim, Sangpil
Kim, Chang Won
Factors Affecting the Postoperative Mortality in the Ruptured Abdominal Aortic Aneurysm
title Factors Affecting the Postoperative Mortality in the Ruptured Abdominal Aortic Aneurysm
title_full Factors Affecting the Postoperative Mortality in the Ruptured Abdominal Aortic Aneurysm
title_fullStr Factors Affecting the Postoperative Mortality in the Ruptured Abdominal Aortic Aneurysm
title_full_unstemmed Factors Affecting the Postoperative Mortality in the Ruptured Abdominal Aortic Aneurysm
title_short Factors Affecting the Postoperative Mortality in the Ruptured Abdominal Aortic Aneurysm
title_sort factors affecting the postoperative mortality in the ruptured abdominal aortic aneurysm
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3413827/
https://www.ncbi.nlm.nih.gov/pubmed/22880167
http://dx.doi.org/10.5090/kjtcs.2012.45.4.230
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