Aortic aneurysm disease versus aortic occlusive disease: differences in postoperative ICU requirements after open elective abdominal aortic surgery

Bisgaard, Jannie; Jørgensen, HK; Gilsaa, T; Rønholm, Ebbe; Toft, Palle

doi:10.1186/cc11077

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…A study from Denmark reported that 62% of AAA patients after open AAA repair surgery had ICU stays >24 hours. 18 A study investigated patients undergoing elective infrarenal EVAR between 2009 and 2015 and found that 57.3% were admitted to ICU after the surgery. 19 In order to further improve the management of AA patients admitted to ICU postoperatively, an overview of their characteristics and risk profiles of prognosis is needed.…”

Section: Introductionmentioning

confidence: 99%

Characteristics and Prognosis of Abdominal or Thoracic Aortic Aneurysm Patients Admitted to Intensive Care Units After Surgical Treatment: A Multicenter Retrospective Observational Study

Chen¹,

Ye²,

Wu³

et al. 2021

IJGM

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Objective To investigate the characteristics and prognosis of abdominal or thoracic aortic aneurysm (AAA or TAA) patients admitted to intensive care unit (ICU) postoperatively. Methods Patients admitted to ICU postoperatively with a primary diagnosis of AAA or TAA were screened in the eICU Collaborative Research Database, which contained data from multiple ICUs throughout the continental United States in 2014 and 2015. Baseline characteristics and comorbidities and were investigated and factors associated with ICU mortality were explored using univariable logistic regression. Receiver operating characteristic (ROC) curve analysis was performed to evaluate the prognosis predictive performance of the widely used severity scoring system APACHE IVa. Results A total of 974 patients including 677 AAA and 297 TAA patients admitted to ICU postoperatively were included. Compared with TAA, AAA patients had a significantly higher median age (72 versus 64 years, P<0.001). 89.07% AAA and 84.51% TAA patients underwent elective surgery (P=0.046), 8.71% AAA and 31.99% TAA patients were with aortic dissection (P<0.001), and 10.19% AAA and 2.36% TAA patients suffered from rupture of aortic aneurysm (P<0.001). Hypertension requiring treatment was the most common comorbidity (57.31% for AAA and 61.95% for TAA). TAA patients had significantly higher ICU mortality (9.43% versus 2.36%, P<0.001) than AAA. Several factors were found to be significantly associated with ICU mortality, including urgent surgery, with aortic dissection, rupture of aortic aneurysm, TAA, and a higher APACHE IVa score on ICU admission. APACHE IVa showed a good predictive performance for ICU mortality with an area under the ROC curve of 0.9176 (95% CI 0.8789–0.9390). Conclusion The prognosis of aortic aneurysm patients admitted to ICU postoperatively is yet to improve, and factors associated with prognosis are mainly related to the condition itself. APACHE IVa can be used for prognosis prediction.

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Section: Introductionmentioning

confidence: 99%

Characteristics and Prognosis of Abdominal or Thoracic Aortic Aneurysm Patients Admitted to Intensive Care Units After Surgical Treatment: A Multicenter Retrospective Observational Study

Chen¹,

Ye²,

Wu³

et al. 2021

IJGM

View full text Add to dashboard Cite

show abstract

“…Although not all AA patients need intensive care unit (ICU) admissions after surgery therapy 17 , subsequent ICU admissions postoperatively at least are not rare for patients with AAA or TAA. A study from Denmark reported that 62% AAA patients after open AAA repair surgery had ICU stays >24 hours 18 .…”

Section: Introductionmentioning

confidence: 99%

Characteristics and Prognosis of Abdominal or Thoracic Aortic Aneurysm Patients Admitted to Intensive Care Units After Surgery Therapy: A Multicenter Retrospective Observational Study

Chen

et al. 2020

Preprint

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Background: Subsequent intensive care unit (ICU) admissions postoperatively are not rare for patients with abdominal or thoracic aortic aneurysm (AAA or TAA), but a large-scale investigation on these patients is absent. The study aimed to investigate the characteristics and prognosis of AAA or TAA patients admitted to ICU postoperatively.Methods: Patients admitted to ICU postoperatively with a primary diagnosis of AAA or TAA were screened in the eICU Collaborative Research Database, which contained data from multiple ICUs throughout the continental United States in 2014 and 2015. Baseline characteristics and comorbidities and were investigated and factors associated with ICU mortality were explored using univariable logistic regression. Receiver operating characteristic (ROC) curve analysis was performed to evaluate the prognosis predictive performance of the widely used severity scoring system APACHE IVa.Results: 974 patients including 677 AAA and 297 TAA patients admitted to ICU postoperatively were included finally. Compared with TAA, AAA patients had a significantly higher median age (72 versus 64 years). 10.19% AAA and 2.36% TAA patients suffered from rupture of aortic aneurysm, and 89.07% AAA and 84.51% TAA patients underwent elective surgery. Hypertension requiring treatment was the most common comorbidity (57.31% for AAA and 61.95% for TAA). TAA patients had significantly higher ICU mortality (9.43% versus 2.36%) than AAA. Several factors were found to be significantly associated with ICU mortality, including urgent surgery, rupture of aortic aneurysm, TAA, and a higher APACHE IVa score on ICU admission. APACHE IVa showed a good predictive performance for ICU mortality with an area under the ROC curve of 0.9176 (95% CI 0.8789-0.9390).Conclusions: Prognosis of aortic aneurysm patients admitted to ICU postoperatively is yet to improve, and factors associated with prognosis are mainly related to the condition itself. APACHE IVa can be used for prognosis prediction.

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Aortic aneurysm disease versus aortic occlusive disease: differences in postoperative ICU requirements after open elective abdominal aortic surgery

Cited by 2 publications

References 2 publications

Characteristics and Prognosis of Abdominal or Thoracic Aortic Aneurysm Patients Admitted to Intensive Care Units After Surgical Treatment: A Multicenter Retrospective Observational Study

Characteristics and Prognosis of Abdominal or Thoracic Aortic Aneurysm Patients Admitted to Intensive Care Units After Surgical Treatment: A Multicenter Retrospective Observational Study

Characteristics and Prognosis of Abdominal or Thoracic Aortic Aneurysm Patients Admitted to Intensive Care Units After Surgery Therapy: A Multicenter Retrospective Observational Study

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