Predictors of Outcome After Abdominal Aortic Aneurysm Rupture: Edinburgh Ruptured Aneurysm Score

Background Many surgeons adopt a selective policy of intervention for a ruptured abdominal aortic aneurysm (AAA). This study aimed to develop an objective method of identifying patients suitable for attempted repair. Methods Consecutive patients selected for attempted repair of ruptured AAA over a 3...

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Veröffentlicht in:	World journal of surgery 2007-11, Vol.31 (11), p.2243-2247
Hauptverfasser:	Tambyraja, Andrew, Murie, John, Chalmers, Roderick
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdominal Aortic Aneurysm Abdominal Aortic Aneurysm Repair Aged Aortic Aneurysm, Abdominal - mortality Aortic Aneurysm, Abdominal - surgery Aortic Rupture - mortality Aortic Rupture - surgery Biological and medical sciences Female General aspects Glasgow Coma Scale Hospital Mortality Humans Logistic Models Male Medical sciences Middle Aged Multivariate Analysis Outcome Assessment (Health Care) Patient Selection Preoperative Variable Prognosis Risk Assessment - methods Risk Factors
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Zusammenfassung:	Background Many surgeons adopt a selective policy of intervention for a ruptured abdominal aortic aneurysm (AAA). This study aimed to develop an objective method of identifying patients suitable for attempted repair. Methods Consecutive patients selected for attempted repair of ruptured AAA over a 31‐month period (January 2000 to July 2002) were entered into an observational study. Altogether, 53 preoperative physiological and biochemical variables were recorded and related to operative outcome. Results A total of 105 patients underwent attempted repair of a ruptured AAA. There were 39 (37%) deaths in hospital or within 30 days of operation. On univariate analysis, hemoglobin
ISSN:	0364-2313 1432-2323
DOI:	10.1007/s00268-007-9181-5