Risk prediction in patients undergoing elective endovascular repair of an abdominal aortic aneurysm
Abstract Objectives. The aim of this study was to retrospectively evaluate three risk scoring methods in predicting outcome after elective endovascular repair of an abdominal aortic aneurysm. Design. A Zenith stent graft was employed in 205 patients during years 2001-2005. Results. The 30-day postop...
Gespeichert in:
| Veröffentlicht in: | Scandinavian cardiovascular journal : SCJ 2010, Vol.44 (2), p.125-128 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 128 |
|---|---|
| container_issue | 2 |
| container_start_page | 125 |
| container_title | Scandinavian cardiovascular journal : SCJ |
| container_volume | 44 |
| creator | Nevala, Terhi Biancari, Fausto Perälä, Jukka Manninen, Hannu Aho, Pekka-Sakari Matsi, Pekka Mäkinen, Kimmo Roth, Wolf-Dieter Ylönen, Kari Lepäntalo, Mauri |
| description | Abstract
Objectives. The aim of this study was to retrospectively evaluate three risk scoring methods in predicting outcome after elective endovascular repair of an abdominal aortic aneurysm. Design. A Zenith stent graft was employed in 205 patients during years 2001-2005. Results. The 30-day postoperative mortality rate was 2.9%. Receiver operating characteristics (ROC) curve analysis showed that the Glasgow aneurysm score (GAS) (AUC: 0.843, p=0.004) and the Giles' score (AUC 0.815, p=0.009) had a rather large area under the curve in predicting 30-day mortality rate. The modified Leiden score was much less accurate (AUC: 0.594). The best cut-off value for the GAS in predicting 30-day mortality was 90 (0.6% vs. 17.9%, p |
| doi_str_mv | 10.3109/14017430903420590 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmed_primary_19961285</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>733254784</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-1e9c889f303222813b84d47904983811a027d2dd7e9357f12805d20f698f28ee3</originalsourceid><addsrcrecordid>eNp9kN1rFTEQxRdR7If-Ab5I3nxazefdBH2RolYoCEWfl9xk0qZmk3Wy23L_-6bcCyLSPs0w8zuHw-m6N4y-F4yaD0xSNkhBDRWSU2Xos-6YbRTrOaWb521v_74B7Kg7qfWGUqa0Yi-7I2bMhnGtjjt3GetvMiP46JZYMomZzHaJkJdK1uwBr0rMVwQStP8tEMi-3Nrq1mSRIMw2IimB2Ezs1pcpZpuILbhE126w4q5Or7oXwaYKrw_ztPv19cvPs_P-4se372efL3onqVp6BsZpbYKggnOumdhq6eVgqDRaaMYs5YPn3g9ghBpCy0-V5zRsjA5cA4jT7t3ed8byZ4W6jFOsDlJqQcpax0EIruSgZSPZnnRYakUI44xxsrgbGR0fqh3_q7Zp3h7c1-0E_q_i0GUDPu2BmEPByd4VTH5c7C4VDGizi_XB-3H_j__Ir8Gm5dpZhPGmrNh6rU-kuwdK2ZkE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>733254784</pqid></control><display><type>article</type><title>Risk prediction in patients undergoing elective endovascular repair of an abdominal aortic aneurysm</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Nevala, Terhi ; Biancari, Fausto ; Perälä, Jukka ; Manninen, Hannu ; Aho, Pekka-Sakari ; Matsi, Pekka ; Mäkinen, Kimmo ; Roth, Wolf-Dieter ; Ylönen, Kari ; Lepäntalo, Mauri</creator><creatorcontrib>Nevala, Terhi ; Biancari, Fausto ; Perälä, Jukka ; Manninen, Hannu ; Aho, Pekka-Sakari ; Matsi, Pekka ; Mäkinen, Kimmo ; Roth, Wolf-Dieter ; Ylönen, Kari ; Lepäntalo, Mauri</creatorcontrib><description>Abstract
Objectives. The aim of this study was to retrospectively evaluate three risk scoring methods in predicting outcome after elective endovascular repair of an abdominal aortic aneurysm. Design. A Zenith stent graft was employed in 205 patients during years 2001-2005. Results. The 30-day postoperative mortality rate was 2.9%. Receiver operating characteristics (ROC) curve analysis showed that the Glasgow aneurysm score (GAS) (AUC: 0.843, p=0.004) and the Giles' score (AUC 0.815, p=0.009) had a rather large area under the curve in predicting 30-day mortality rate. The modified Leiden score was much less accurate (AUC: 0.594). The best cut-off value for the GAS in predicting 30-day mortality was 90 (0.6% vs. 17.9%, p<0.0001). Patients with a GAS ≥ 90 had a 4-year survival rate of 56.8%, whereas it was 78.5% among those with a lower GAS (p = 0.001).The best cut-off value for the Giles' score was 11 (1.3% vs. 8.3%, p<0.0001). Patients with a Giles' score ≥ 11 had a 4-year survival rate of 63.9%, whereas it was 79.0% among those with a lower score (p = 0.016). Conclusions. The GAS and Giles' risk scoring methods are good predictors of poor immediate and late outcome after EVAR.</description><identifier>ISSN: 1401-7431</identifier><identifier>EISSN: 1651-2006</identifier><identifier>DOI: 10.3109/14017430903420590</identifier><identifier>PMID: 19961285</identifier><language>eng</language><publisher>England: Informa UK Ltd. (Informa Healthcare, Taylor & Francis AS)</publisher><subject>Abdominal aortic aneurysm ; Aged ; Aged, 80 and over ; Aortic Aneurysm, Abdominal - mortality ; Aortic Aneurysm, Abdominal - surgery ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation - adverse effects ; Blood Vessel Prosthesis Implantation - methods ; Blood Vessel Prosthesis Implantation - mortality ; Elective Surgical Procedures ; endovascular ; Female ; Health Status Indicators ; Humans ; Kaplan-Meier Estimate ; Male ; mortality ; Odds Ratio ; Predictive Value of Tests ; Prosthesis Design ; Retrospective Studies ; risk adjustment ; Risk Assessment ; Risk Factors ; ROC Curve ; scoring system ; stent graft ; Stents ; Time Factors ; Treatment Outcome</subject><ispartof>Scandinavian cardiovascular journal : SCJ, 2010, Vol.44 (2), p.125-128</ispartof><rights>Informa UK Ltd 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-1e9c889f303222813b84d47904983811a027d2dd7e9357f12805d20f698f28ee3</citedby><cites>FETCH-LOGICAL-c405t-1e9c889f303222813b84d47904983811a027d2dd7e9357f12805d20f698f28ee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19961285$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nevala, Terhi</creatorcontrib><creatorcontrib>Biancari, Fausto</creatorcontrib><creatorcontrib>Perälä, Jukka</creatorcontrib><creatorcontrib>Manninen, Hannu</creatorcontrib><creatorcontrib>Aho, Pekka-Sakari</creatorcontrib><creatorcontrib>Matsi, Pekka</creatorcontrib><creatorcontrib>Mäkinen, Kimmo</creatorcontrib><creatorcontrib>Roth, Wolf-Dieter</creatorcontrib><creatorcontrib>Ylönen, Kari</creatorcontrib><creatorcontrib>Lepäntalo, Mauri</creatorcontrib><title>Risk prediction in patients undergoing elective endovascular repair of an abdominal aortic aneurysm</title><title>Scandinavian cardiovascular journal : SCJ</title><addtitle>Scand Cardiovasc J</addtitle><description>Abstract
Objectives. The aim of this study was to retrospectively evaluate three risk scoring methods in predicting outcome after elective endovascular repair of an abdominal aortic aneurysm. Design. A Zenith stent graft was employed in 205 patients during years 2001-2005. Results. The 30-day postoperative mortality rate was 2.9%. Receiver operating characteristics (ROC) curve analysis showed that the Glasgow aneurysm score (GAS) (AUC: 0.843, p=0.004) and the Giles' score (AUC 0.815, p=0.009) had a rather large area under the curve in predicting 30-day mortality rate. The modified Leiden score was much less accurate (AUC: 0.594). The best cut-off value for the GAS in predicting 30-day mortality was 90 (0.6% vs. 17.9%, p<0.0001). Patients with a GAS ≥ 90 had a 4-year survival rate of 56.8%, whereas it was 78.5% among those with a lower GAS (p = 0.001).The best cut-off value for the Giles' score was 11 (1.3% vs. 8.3%, p<0.0001). Patients with a Giles' score ≥ 11 had a 4-year survival rate of 63.9%, whereas it was 79.0% among those with a lower score (p = 0.016). Conclusions. The GAS and Giles' risk scoring methods are good predictors of poor immediate and late outcome after EVAR.</description><subject>Abdominal aortic aneurysm</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aortic Aneurysm, Abdominal - mortality</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Blood Vessel Prosthesis</subject><subject>Blood Vessel Prosthesis Implantation - adverse effects</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Blood Vessel Prosthesis Implantation - mortality</subject><subject>Elective Surgical Procedures</subject><subject>endovascular</subject><subject>Female</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>Male</subject><subject>mortality</subject><subject>Odds Ratio</subject><subject>Predictive Value of Tests</subject><subject>Prosthesis Design</subject><subject>Retrospective Studies</subject><subject>risk adjustment</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>ROC Curve</subject><subject>scoring system</subject><subject>stent graft</subject><subject>Stents</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>1401-7431</issn><issn>1651-2006</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kN1rFTEQxRdR7If-Ab5I3nxazefdBH2RolYoCEWfl9xk0qZmk3Wy23L_-6bcCyLSPs0w8zuHw-m6N4y-F4yaD0xSNkhBDRWSU2Xos-6YbRTrOaWb521v_74B7Kg7qfWGUqa0Yi-7I2bMhnGtjjt3GetvMiP46JZYMomZzHaJkJdK1uwBr0rMVwQStP8tEMi-3Nrq1mSRIMw2IimB2Ezs1pcpZpuILbhE126w4q5Or7oXwaYKrw_ztPv19cvPs_P-4se372efL3onqVp6BsZpbYKggnOumdhq6eVgqDRaaMYs5YPn3g9ghBpCy0-V5zRsjA5cA4jT7t3ed8byZ4W6jFOsDlJqQcpax0EIruSgZSPZnnRYakUI44xxsrgbGR0fqh3_q7Zp3h7c1-0E_q_i0GUDPu2BmEPByd4VTH5c7C4VDGizi_XB-3H_j__Ir8Gm5dpZhPGmrNh6rU-kuwdK2ZkE</recordid><startdate>2010</startdate><enddate>2010</enddate><creator>Nevala, Terhi</creator><creator>Biancari, Fausto</creator><creator>Perälä, Jukka</creator><creator>Manninen, Hannu</creator><creator>Aho, Pekka-Sakari</creator><creator>Matsi, Pekka</creator><creator>Mäkinen, Kimmo</creator><creator>Roth, Wolf-Dieter</creator><creator>Ylönen, Kari</creator><creator>Lepäntalo, Mauri</creator><general>Informa UK Ltd. (Informa Healthcare, Taylor & Francis AS)</general><general>Taylor & Francis</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>7X8</scope></search><sort><creationdate>2010</creationdate><title>Risk prediction in patients undergoing elective endovascular repair of an abdominal aortic aneurysm</title><author>Nevala, Terhi ; Biancari, Fausto ; Perälä, Jukka ; Manninen, Hannu ; Aho, Pekka-Sakari ; Matsi, Pekka ; Mäkinen, Kimmo ; Roth, Wolf-Dieter ; Ylönen, Kari ; Lepäntalo, Mauri</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-1e9c889f303222813b84d47904983811a027d2dd7e9357f12805d20f698f28ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Abdominal aortic aneurysm</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aortic Aneurysm, Abdominal - mortality</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>Blood Vessel Prosthesis</topic><topic>Blood Vessel Prosthesis Implantation - adverse effects</topic><topic>Blood Vessel Prosthesis Implantation - methods</topic><topic>Blood Vessel Prosthesis Implantation - mortality</topic><topic>Elective Surgical Procedures</topic><topic>endovascular</topic><topic>Female</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>Male</topic><topic>mortality</topic><topic>Odds Ratio</topic><topic>Predictive Value of Tests</topic><topic>Prosthesis Design</topic><topic>Retrospective Studies</topic><topic>risk adjustment</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>ROC Curve</topic><topic>scoring system</topic><topic>stent graft</topic><topic>Stents</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nevala, Terhi</creatorcontrib><creatorcontrib>Biancari, Fausto</creatorcontrib><creatorcontrib>Perälä, Jukka</creatorcontrib><creatorcontrib>Manninen, Hannu</creatorcontrib><creatorcontrib>Aho, Pekka-Sakari</creatorcontrib><creatorcontrib>Matsi, Pekka</creatorcontrib><creatorcontrib>Mäkinen, Kimmo</creatorcontrib><creatorcontrib>Roth, Wolf-Dieter</creatorcontrib><creatorcontrib>Ylönen, Kari</creatorcontrib><creatorcontrib>Lepäntalo, Mauri</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian cardiovascular journal : SCJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nevala, Terhi</au><au>Biancari, Fausto</au><au>Perälä, Jukka</au><au>Manninen, Hannu</au><au>Aho, Pekka-Sakari</au><au>Matsi, Pekka</au><au>Mäkinen, Kimmo</au><au>Roth, Wolf-Dieter</au><au>Ylönen, Kari</au><au>Lepäntalo, Mauri</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk prediction in patients undergoing elective endovascular repair of an abdominal aortic aneurysm</atitle><jtitle>Scandinavian cardiovascular journal : SCJ</jtitle><addtitle>Scand Cardiovasc J</addtitle><date>2010</date><risdate>2010</risdate><volume>44</volume><issue>2</issue><spage>125</spage><epage>128</epage><pages>125-128</pages><issn>1401-7431</issn><eissn>1651-2006</eissn><abstract>Abstract
Objectives. The aim of this study was to retrospectively evaluate three risk scoring methods in predicting outcome after elective endovascular repair of an abdominal aortic aneurysm. Design. A Zenith stent graft was employed in 205 patients during years 2001-2005. Results. The 30-day postoperative mortality rate was 2.9%. Receiver operating characteristics (ROC) curve analysis showed that the Glasgow aneurysm score (GAS) (AUC: 0.843, p=0.004) and the Giles' score (AUC 0.815, p=0.009) had a rather large area under the curve in predicting 30-day mortality rate. The modified Leiden score was much less accurate (AUC: 0.594). The best cut-off value for the GAS in predicting 30-day mortality was 90 (0.6% vs. 17.9%, p<0.0001). Patients with a GAS ≥ 90 had a 4-year survival rate of 56.8%, whereas it was 78.5% among those with a lower GAS (p = 0.001).The best cut-off value for the Giles' score was 11 (1.3% vs. 8.3%, p<0.0001). Patients with a Giles' score ≥ 11 had a 4-year survival rate of 63.9%, whereas it was 79.0% among those with a lower score (p = 0.016). Conclusions. The GAS and Giles' risk scoring methods are good predictors of poor immediate and late outcome after EVAR.</abstract><cop>England</cop><pub>Informa UK Ltd. (Informa Healthcare, Taylor & Francis AS)</pub><pmid>19961285</pmid><doi>10.3109/14017430903420590</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1401-7431 |
| ispartof | Scandinavian cardiovascular journal : SCJ, 2010, Vol.44 (2), p.125-128 |
| issn | 1401-7431 1651-2006 |
| language | eng |
| recordid | cdi_pubmed_primary_19961285 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Abdominal aortic aneurysm Aged Aged, 80 and over Aortic Aneurysm, Abdominal - mortality Aortic Aneurysm, Abdominal - surgery Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - adverse effects Blood Vessel Prosthesis Implantation - methods Blood Vessel Prosthesis Implantation - mortality Elective Surgical Procedures endovascular Female Health Status Indicators Humans Kaplan-Meier Estimate Male mortality Odds Ratio Predictive Value of Tests Prosthesis Design Retrospective Studies risk adjustment Risk Assessment Risk Factors ROC Curve scoring system stent graft Stents Time Factors Treatment Outcome |
| title | Risk prediction in patients undergoing elective endovascular repair of an abdominal aortic aneurysm |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T10%3A48%3A22IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Risk%20prediction%20in%20patients%20undergoing%20elective%20endovascular%20repair%20of%20an%20abdominal%20aortic%20aneurysm&rft.jtitle=Scandinavian%20cardiovascular%20journal%20:%20SCJ&rft.au=Nevala,%20Terhi&rft.date=2010&rft.volume=44&rft.issue=2&rft.spage=125&rft.epage=128&rft.pages=125-128&rft.issn=1401-7431&rft.eissn=1651-2006&rft_id=info:doi/10.3109/14017430903420590&rft_dat=%3Cproquest_pubme%3E733254784%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=733254784&rft_id=info:pmid/19961285&rfr_iscdi=true |