Mortality from ruptured abdominal aortic aneurysm in Wales
Background: The aim of this study was to identify the incidence of, and mortality in, patients with a ruptured abdominal aortic aneurysm (AAA) reaching hospital alive in Wales. Methods: Patients who presented with a ruptured AAA between September 1996 and August 1997 were analysed. Data were collect...
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| Veröffentlicht in: | British journal of surgery 1999-06, Vol.86 (6), p.765-770 |
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| creator | Basnyat, P. S. Biffin, A. H. B. Moseley, L. G. Hedges, A. R. Lewis, M. H. |
| description | Background:
The aim of this study was to identify the incidence of, and mortality in, patients with a ruptured abdominal aortic aneurysm (AAA) reaching hospital alive in Wales.
Methods:
Patients who presented with a ruptured AAA between September 1996 and August 1997 were analysed. Data were collected prospectively by an independent body, observing strict confidentiality.
Results:
Some 233 patients with a confirmed ruptured AAA were identified, giving an incidence of eight per 100 000 total population. Some 133 patients (57 per cent) underwent attempted operative repair; 85 (64 per cent) of these died within 30 days. Of the 233 patients, 92 were admitted under the care of a vascular surgeon and 141 under a non‐vascular surgeon. Vascular surgeons operated on 82 patients (89 per cent), of whom 50 (61 per cent) died, whereas non‐vascular surgeons operated on 51 patients (36 per cent), of whom 35 (69 per cent) died.
Discussion:
This study is unique as it is an independent prospective study of mortality in patients with a ruptured AAA who reached hospital alive. Mortality was independent of the operating surgeon, but vascular surgeons turned down significantly fewer patients than non‐vascular surgeons (11 versus 64 per cent, P < 0·001). © 1999 British Journal of Surgery Society Ltd |
| doi_str_mv | 10.1046/j.1365-2168.1999.01170.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_69859175</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69859175</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4325-65c2cc65ab64004ba1063ba8e6862c5c68ffd9e2055470b05e7120152ca97cd53</originalsourceid><addsrcrecordid>eNpNkMtu2zAQRYmgQe24_YVAi6I7KUNSHEpFN63RvOAki6RNdgRFUQAdyXJJCbX-PlbtOFnNYs69mDmERBQSCimeLRPKUcSMYpbQPM8ToFRCsjki08PiA5kCgIwpZ3xCTkJYAlAOgn0kEwo840LilHy7aX2na9cNUeXbJvL9uuu9LSNdlG3jVrqO9JZwJtIr2_shNJFbRY-6tuETOa50Hezn_ZyR3-e_HuaX8eLu4mr-YxGblDMRozDMGBS6wBQgLTQF5IXOLGbIjDCYVVWZWwZCpBIKEFZSBlQwo3NpSsFn5Ouud-3bv70NnWpcMLautxe1fVCYZyKncgRP92BfNLZUa-8a7Qf1-u0W-LIHdDC6rrxeGRfeuEwwRLrFvu-wf662w7saNcpXSzU6VqNjNcpX_-Wrjfp5fU_z8Yx4F3ehs5tDXPtnhZJLoR5vL9QCn5DP_9yrB_4CYJaFSQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69859175</pqid></control><display><type>article</type><title>Mortality from ruptured abdominal aortic aneurysm in Wales</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Oxford University Press Journals Current</source><creator>Basnyat, P. S. ; Biffin, A. H. B. ; Moseley, L. G. ; Hedges, A. R. ; Lewis, M. H.</creator><creatorcontrib>Basnyat, P. S. ; Biffin, A. H. B. ; Moseley, L. G. ; Hedges, A. R. ; Lewis, M. H.</creatorcontrib><description>Background:
The aim of this study was to identify the incidence of, and mortality in, patients with a ruptured abdominal aortic aneurysm (AAA) reaching hospital alive in Wales.
Methods:
Patients who presented with a ruptured AAA between September 1996 and August 1997 were analysed. Data were collected prospectively by an independent body, observing strict confidentiality.
Results:
Some 233 patients with a confirmed ruptured AAA were identified, giving an incidence of eight per 100 000 total population. Some 133 patients (57 per cent) underwent attempted operative repair; 85 (64 per cent) of these died within 30 days. Of the 233 patients, 92 were admitted under the care of a vascular surgeon and 141 under a non‐vascular surgeon. Vascular surgeons operated on 82 patients (89 per cent), of whom 50 (61 per cent) died, whereas non‐vascular surgeons operated on 51 patients (36 per cent), of whom 35 (69 per cent) died.
Discussion:
This study is unique as it is an independent prospective study of mortality in patients with a ruptured AAA who reached hospital alive. Mortality was independent of the operating surgeon, but vascular surgeons turned down significantly fewer patients than non‐vascular surgeons (11 versus 64 per cent, P < 0·001). © 1999 British Journal of Surgery Society Ltd</description><identifier>ISSN: 0007-1323</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1046/j.1365-2168.1999.01170.x</identifier><identifier>PMID: 10383576</identifier><identifier>CODEN: BJSUAM</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Aged ; Aged, 80 and over ; Aortic Aneurysm, Abdominal - mortality ; Aortic Rupture - mortality ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Diseases of the aorta ; Female ; Humans ; Incidence ; Male ; Medical sciences ; Middle Aged ; Prospective Studies ; Wales - epidemiology</subject><ispartof>British journal of surgery, 1999-06, Vol.86 (6), p.765-770</ispartof><rights>1999 British Journal of Surgery Society Ltd</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4325-65c2cc65ab64004ba1063ba8e6862c5c68ffd9e2055470b05e7120152ca97cd53</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1365-2168.1999.01170.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1365-2168.1999.01170.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>309,310,314,777,781,786,787,1413,23912,23913,25122,27906,27907,45556,45557</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1852661$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10383576$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Basnyat, P. S.</creatorcontrib><creatorcontrib>Biffin, A. H. B.</creatorcontrib><creatorcontrib>Moseley, L. G.</creatorcontrib><creatorcontrib>Hedges, A. R.</creatorcontrib><creatorcontrib>Lewis, M. H.</creatorcontrib><title>Mortality from ruptured abdominal aortic aneurysm in Wales</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Background:
The aim of this study was to identify the incidence of, and mortality in, patients with a ruptured abdominal aortic aneurysm (AAA) reaching hospital alive in Wales.
Methods:
Patients who presented with a ruptured AAA between September 1996 and August 1997 were analysed. Data were collected prospectively by an independent body, observing strict confidentiality.
Results:
Some 233 patients with a confirmed ruptured AAA were identified, giving an incidence of eight per 100 000 total population. Some 133 patients (57 per cent) underwent attempted operative repair; 85 (64 per cent) of these died within 30 days. Of the 233 patients, 92 were admitted under the care of a vascular surgeon and 141 under a non‐vascular surgeon. Vascular surgeons operated on 82 patients (89 per cent), of whom 50 (61 per cent) died, whereas non‐vascular surgeons operated on 51 patients (36 per cent), of whom 35 (69 per cent) died.
Discussion:
This study is unique as it is an independent prospective study of mortality in patients with a ruptured AAA who reached hospital alive. Mortality was independent of the operating surgeon, but vascular surgeons turned down significantly fewer patients than non‐vascular surgeons (11 versus 64 per cent, P < 0·001). © 1999 British Journal of Surgery Society Ltd</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aortic Aneurysm, Abdominal - mortality</subject><subject>Aortic Rupture - mortality</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the aorta</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Wales - epidemiology</subject><issn>0007-1323</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkMtu2zAQRYmgQe24_YVAi6I7KUNSHEpFN63RvOAki6RNdgRFUQAdyXJJCbX-PlbtOFnNYs69mDmERBQSCimeLRPKUcSMYpbQPM8ToFRCsjki08PiA5kCgIwpZ3xCTkJYAlAOgn0kEwo840LilHy7aX2na9cNUeXbJvL9uuu9LSNdlG3jVrqO9JZwJtIr2_shNJFbRY-6tuETOa50Hezn_ZyR3-e_HuaX8eLu4mr-YxGblDMRozDMGBS6wBQgLTQF5IXOLGbIjDCYVVWZWwZCpBIKEFZSBlQwo3NpSsFn5Ouud-3bv70NnWpcMLautxe1fVCYZyKncgRP92BfNLZUa-8a7Qf1-u0W-LIHdDC6rrxeGRfeuEwwRLrFvu-wf662w7saNcpXSzU6VqNjNcpX_-Wrjfp5fU_z8Yx4F3ehs5tDXPtnhZJLoR5vL9QCn5DP_9yrB_4CYJaFSQ</recordid><startdate>19990601</startdate><enddate>19990601</enddate><creator>Basnyat, P. S.</creator><creator>Biffin, A. H. B.</creator><creator>Moseley, L. G.</creator><creator>Hedges, A. R.</creator><creator>Lewis, M. H.</creator><general>Blackwell Science Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19990601</creationdate><title>Mortality from ruptured abdominal aortic aneurysm in Wales</title><author>Basnyat, P. S. ; Biffin, A. H. B. ; Moseley, L. G. ; Hedges, A. R. ; Lewis, M. H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4325-65c2cc65ab64004ba1063ba8e6862c5c68ffd9e2055470b05e7120152ca97cd53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aortic Aneurysm, Abdominal - mortality</topic><topic>Aortic Rupture - mortality</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the aorta</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Wales - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Basnyat, P. S.</creatorcontrib><creatorcontrib>Biffin, A. H. B.</creatorcontrib><creatorcontrib>Moseley, L. G.</creatorcontrib><creatorcontrib>Hedges, A. R.</creatorcontrib><creatorcontrib>Lewis, M. H.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Basnyat, P. S.</au><au>Biffin, A. H. B.</au><au>Moseley, L. G.</au><au>Hedges, A. R.</au><au>Lewis, M. H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mortality from ruptured abdominal aortic aneurysm in Wales</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>1999-06-01</date><risdate>1999</risdate><volume>86</volume><issue>6</issue><spage>765</spage><epage>770</epage><pages>765-770</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>Background:
The aim of this study was to identify the incidence of, and mortality in, patients with a ruptured abdominal aortic aneurysm (AAA) reaching hospital alive in Wales.
Methods:
Patients who presented with a ruptured AAA between September 1996 and August 1997 were analysed. Data were collected prospectively by an independent body, observing strict confidentiality.
Results:
Some 233 patients with a confirmed ruptured AAA were identified, giving an incidence of eight per 100 000 total population. Some 133 patients (57 per cent) underwent attempted operative repair; 85 (64 per cent) of these died within 30 days. Of the 233 patients, 92 were admitted under the care of a vascular surgeon and 141 under a non‐vascular surgeon. Vascular surgeons operated on 82 patients (89 per cent), of whom 50 (61 per cent) died, whereas non‐vascular surgeons operated on 51 patients (36 per cent), of whom 35 (69 per cent) died.
Discussion:
This study is unique as it is an independent prospective study of mortality in patients with a ruptured AAA who reached hospital alive. Mortality was independent of the operating surgeon, but vascular surgeons turned down significantly fewer patients than non‐vascular surgeons (11 versus 64 per cent, P < 0·001). © 1999 British Journal of Surgery Society Ltd</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>10383576</pmid><doi>10.1046/j.1365-2168.1999.01170.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | British journal of surgery, 1999-06, Vol.86 (6), p.765-770 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Oxford University Press Journals Current |
| subjects | Aged Aged, 80 and over Aortic Aneurysm, Abdominal - mortality Aortic Rupture - mortality Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Diseases of the aorta Female Humans Incidence Male Medical sciences Middle Aged Prospective Studies Wales - epidemiology |
| title | Mortality from ruptured abdominal aortic aneurysm in Wales |
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