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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society for Thoracic and Cardiovascular Surgery
2012
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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. |
format | Online Article Text |
id | pubmed-3413827 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Korean Society for Thoracic and Cardiovascular Surgery |
record_format | MEDLINE/PubMed |
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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