The evaluation of morbidity and mortality in abdominal aortic aneurysm repair patients as related to body mass index
Abstract Background This study evaluates the relationship between body mass index (BMI) and other comorbidities on the overall morbidity and mortality of abdominal aortic aneurysm (AAA) repair. Methods A database of all nonemergent open and endovascular AAA repairs performed at our center from 2004...
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| Veröffentlicht in: | The American journal of surgery 2010-03, Vol.199 (3), p.369-371 |
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| creator | Kennedy, Nicole A., M.D., M.S.E., M.S Flynn, Lisa M., M.D., F.A.C.S Berg, Richard M., M.D., F.A.C.S Lorelli, David R., M.D., F.A.C.S Rama, Kumara, M.D., F.A.C.S Rizk, Youssif, D.O., F.A.C.O.S |
| description | Abstract Background This study evaluates the relationship between body mass index (BMI) and other comorbidities on the overall morbidity and mortality of abdominal aortic aneurysm (AAA) repair. Methods A database of all nonemergent open and endovascular AAA repairs performed at our center from 2004 to 2008 was created. The outcomes at the predefined time intervals were then evaluated for each group of patients. Results One hundred forty-three patients qualified for this study with a 3:2 stent graft-to-open ratio. A trend relating patient BMI with early mortality was noted. Age >80 years was a strong predictor of mortality in all time intervals. Conclusions The outcomes for this population show a significant trend toward early mortality in open AAA repair patients with an elevated preoperative BMI. Appropriate patient selection and preoperative optimization are recommended for all AAA repair candidates; however, some innate characteristics such as patient age, may play the largest role in determining outcomes. |
| doi_str_mv | 10.1016/j.amjsurg.2009.09.019 |
| format | Article |
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Methods A database of all nonemergent open and endovascular AAA repairs performed at our center from 2004 to 2008 was created. The outcomes at the predefined time intervals were then evaluated for each group of patients. Results One hundred forty-three patients qualified for this study with a 3:2 stent graft-to-open ratio. A trend relating patient BMI with early mortality was noted. Age >80 years was a strong predictor of mortality in all time intervals. Conclusions The outcomes for this population show a significant trend toward early mortality in open AAA repair patients with an elevated preoperative BMI. Appropriate patient selection and preoperative optimization are recommended for all AAA repair candidates; however, some innate characteristics such as patient age, may play the largest role in determining outcomes.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2009.09.019</identifier><identifier>PMID: 20226912</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abdominal aortic aneurysm ; Adult ; Age ; Aged ; Aged, 80 and over ; Aneurysms ; Aortic Aneurysm, Abdominal - surgery ; Aortic aneurysms ; Body mass ; Body Mass Index ; Cardiovascular system ; Disease control ; Endovascular ; EVAR ; Female ; Humans ; Implants ; Intervals ; Maintenance ; Male ; Middle Aged ; Morbidity ; Mortality ; Optimization ; Patients ; Postoperative Complications - epidemiology ; Postoperative Complications - mortality ; Repair ; Retrospective Studies ; Surgery ; Surgical implants</subject><ispartof>The American journal of surgery, 2010-03, Vol.199 (3), p.369-371</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>Copyright (c) 2010 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Mar 1, 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c447t-67861eaa7c9cac39528a5b120166b46ef21d52913a44a991a7c8c3551fa55c913</citedby><cites>FETCH-LOGICAL-c447t-67861eaa7c9cac39528a5b120166b46ef21d52913a44a991a7c8c3551fa55c913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002961009007831$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20226912$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kennedy, Nicole A., M.D., M.S.E., M.S</creatorcontrib><creatorcontrib>Flynn, Lisa M., M.D., F.A.C.S</creatorcontrib><creatorcontrib>Berg, Richard M., M.D., F.A.C.S</creatorcontrib><creatorcontrib>Lorelli, David R., M.D., F.A.C.S</creatorcontrib><creatorcontrib>Rama, Kumara, M.D., F.A.C.S</creatorcontrib><creatorcontrib>Rizk, Youssif, D.O., F.A.C.O.S</creatorcontrib><title>The evaluation of morbidity and mortality in abdominal aortic aneurysm repair patients as related to body mass index</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Abstract Background This study evaluates the relationship between body mass index (BMI) and other comorbidities on the overall morbidity and mortality of abdominal aortic aneurysm (AAA) repair. Methods A database of all nonemergent open and endovascular AAA repairs performed at our center from 2004 to 2008 was created. The outcomes at the predefined time intervals were then evaluated for each group of patients. Results One hundred forty-three patients qualified for this study with a 3:2 stent graft-to-open ratio. A trend relating patient BMI with early mortality was noted. Age >80 years was a strong predictor of mortality in all time intervals. Conclusions The outcomes for this population show a significant trend toward early mortality in open AAA repair patients with an elevated preoperative BMI. Appropriate patient selection and preoperative optimization are recommended for all AAA repair candidates; however, some innate characteristics such as patient age, may play the largest role in determining outcomes.</description><subject>Abdominal aortic aneurysm</subject><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aneurysms</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Aortic aneurysms</subject><subject>Body mass</subject><subject>Body Mass Index</subject><subject>Cardiovascular system</subject><subject>Disease control</subject><subject>Endovascular</subject><subject>EVAR</subject><subject>Female</subject><subject>Humans</subject><subject>Implants</subject><subject>Intervals</subject><subject>Maintenance</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Optimization</subject><subject>Patients</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - mortality</subject><subject>Repair</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical implants</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkl2L1TAQhoMo7nH1JygBL7zqMR9N29woy-IXLHjheh2myVRzbJtjki7235tyjgp7IwyEGZ68ycw7hDznbM8Zb14f9jAd0hK_7QVjer8F1w_IjnetrnjXyYdkxxgTlW44uyBPUjqUlPNaPiYXggnRaC52JN9-R4p3MC6QfZhpGOgUYu-dzyuF2W1ZhnHL_Eyhd2HyM4wUStnbQuAS1zTRiEfwkR6LCs45UUilNEJGR3OgfXArnSClIuLw11PyaIAx4bPzeUm-vn93e_2xuvn84dP11U1l67rNVdN2DUeA1moLVmolOlA9F6X9pq8bHAR3Smguoa5Ba17Azkql-ABK2VK_JK9OuscYfi6Yspl8sjiO5dthSaaVsu1axepCvrxHHsISS6PJcC2UZkJLXSh1omwMKUUczDH6CeJqODObK-Zgzq6YzRWzBd_uvTirL_2E7u-tPzYU4O0JwDKNO4_RJFvmaNH5iDYbF_x_n3hzT8GOfvYWxh-4YvrXjUnCMPNlW41tM5hmrO0kl78B0_C2Ew</recordid><startdate>20100301</startdate><enddate>20100301</enddate><creator>Kennedy, Nicole A., M.D., M.S.E., M.S</creator><creator>Flynn, Lisa M., M.D., F.A.C.S</creator><creator>Berg, Richard M., M.D., F.A.C.S</creator><creator>Lorelli, David R., M.D., F.A.C.S</creator><creator>Rama, Kumara, M.D., F.A.C.S</creator><creator>Rizk, Youssif, D.O., F.A.C.O.S</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20100301</creationdate><title>The evaluation of morbidity and mortality in abdominal aortic aneurysm repair patients as related to body mass index</title><author>Kennedy, Nicole A., M.D., M.S.E., M.S ; Flynn, Lisa M., M.D., F.A.C.S ; Berg, Richard M., M.D., F.A.C.S ; Lorelli, David R., M.D., F.A.C.S ; Rama, Kumara, M.D., F.A.C.S ; Rizk, Youssif, D.O., F.A.C.O.S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c447t-67861eaa7c9cac39528a5b120166b46ef21d52913a44a991a7c8c3551fa55c913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Abdominal aortic aneurysm</topic><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aneurysms</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>Aortic aneurysms</topic><topic>Body mass</topic><topic>Body Mass Index</topic><topic>Cardiovascular system</topic><topic>Disease control</topic><topic>Endovascular</topic><topic>EVAR</topic><topic>Female</topic><topic>Humans</topic><topic>Implants</topic><topic>Intervals</topic><topic>Maintenance</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Optimization</topic><topic>Patients</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - mortality</topic><topic>Repair</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kennedy, Nicole A., M.D., M.S.E., M.S</creatorcontrib><creatorcontrib>Flynn, Lisa M., M.D., F.A.C.S</creatorcontrib><creatorcontrib>Berg, Richard M., M.D., F.A.C.S</creatorcontrib><creatorcontrib>Lorelli, David R., M.D., F.A.C.S</creatorcontrib><creatorcontrib>Rama, Kumara, M.D., F.A.C.S</creatorcontrib><creatorcontrib>Rizk, Youssif, D.O., F.A.C.O.S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kennedy, Nicole A., M.D., M.S.E., M.S</au><au>Flynn, Lisa M., M.D., F.A.C.S</au><au>Berg, Richard M., M.D., F.A.C.S</au><au>Lorelli, David R., M.D., F.A.C.S</au><au>Rama, Kumara, M.D., F.A.C.S</au><au>Rizk, Youssif, D.O., F.A.C.O.S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The evaluation of morbidity and mortality in abdominal aortic aneurysm repair patients as related to body mass index</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2010-03-01</date><risdate>2010</risdate><volume>199</volume><issue>3</issue><spage>369</spage><epage>371</epage><pages>369-371</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Abstract Background This study evaluates the relationship between body mass index (BMI) and other comorbidities on the overall morbidity and mortality of abdominal aortic aneurysm (AAA) repair. Methods A database of all nonemergent open and endovascular AAA repairs performed at our center from 2004 to 2008 was created. The outcomes at the predefined time intervals were then evaluated for each group of patients. Results One hundred forty-three patients qualified for this study with a 3:2 stent graft-to-open ratio. A trend relating patient BMI with early mortality was noted. Age >80 years was a strong predictor of mortality in all time intervals. Conclusions The outcomes for this population show a significant trend toward early mortality in open AAA repair patients with an elevated preoperative BMI. Appropriate patient selection and preoperative optimization are recommended for all AAA repair candidates; however, some innate characteristics such as patient age, may play the largest role in determining outcomes.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>20226912</pmid><doi>10.1016/j.amjsurg.2009.09.019</doi><tpages>3</tpages></addata></record> |
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| subjects | Abdominal aortic aneurysm Adult Age Aged Aged, 80 and over Aneurysms Aortic Aneurysm, Abdominal - surgery Aortic aneurysms Body mass Body Mass Index Cardiovascular system Disease control Endovascular EVAR Female Humans Implants Intervals Maintenance Male Middle Aged Morbidity Mortality Optimization Patients Postoperative Complications - epidemiology Postoperative Complications - mortality Repair Retrospective Studies Surgery Surgical implants |
| title | The evaluation of morbidity and mortality in abdominal aortic aneurysm repair patients as related to body mass index |
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