Mortality from abdominal aortic aneurysm: trends in European Union 15+ countries from 1990 to 2017

Abstract

Background This observational study assessed trends in abdominal aortic aneurysm (AAA) death rates in European Union (EU) 15+ countries for the years 1990 to 2017. Methods Age‐standardized death rates (ASDRs) were extracted from the Global Burden of Disease Study Global Health Data Exchange. Trends were analysed using joinpoint regression analysis. Results Between 1990 and 2017, ASDRs from AAA decreased in all 19 EU15+ countries for women, and in 18 of 19 countries for men. Increasing AAA mortality was observed only for men in Greece (+5·3 per cent). The largest relative decreases in ASDR between 1990 and 2017 were observed in Australia (men –65·6 per cent, women –50·4 per cent) and Canada (men –60·8 per cent, women –48·6 per cent). Over the 28‐year interval, the smallest decreases in ASDR for women were noted in Greece (–2·3 per cent) and in Italy (–2·5 per cent). In 2017, the highest mortality rates were observed in the UK for both men and women (7·5 per 100 000 and 3·7 per 100 000 respectively). The lowest ASDR was observed in Portugal for men (2·8 per 100 000) and in Spain for women (1·0 per 100 000). ASDRs for AAA in 2017 were higher for men than women in all 19 EU15+ countries. The most recent trends demonstrated increasing AAA ASDRs in 14 of 19 countries for both sexes; the increases were relatively small compared with the improvements in the preceding years. Conclusion This observational study identified decreasing mortality from AAA across EU15+ countries since 1990. The most recent trends demonstrated relatively small increases in AAA mortality across the majority of EU15+ countries since 2012.

Projection of global burden and risk factors for aortic aneurysm – timely warning for greater emphasis on managing blood pressure

“…The prevalence rates of abdominal aortic aneurysm (AAA) reported in most studies have shown decreasing trends in developed countries, and the prevalence of thoracic aortic aneurysm (TAA) may be increasing, but the prognosis has also improved [ 2 , 3 , 15–19 ]. Similarly, we found that high SDI regions have experienced a significant decrease in AA-related mortality over the past 20 years.…”

Case Report: Experience and Lesson From Postpartum Ruptured Abdominal Aortic Aneurysm

“…The total population incidence of this disease is close to 5%, with men ∼4-6 times more likely to develop AAA than women (7)(8)(9). Several studies have suggested that risk factors for its onset included age over 40, smoking, hypertension, aortic dysplasia, Marfan syndrome and autosomal dominant connective tissue disease (10,11). Atsushi et al reported a case of spontaneous rupture of a thoracic aortic aneurysm that happened in a pregnant woman with type I neurofibromatosis, an autosomal dominant connective tissue diseaseat, at 30 weeks of gestation (12).…”

A Divide between the Western European and the Central and Eastern European Countries in the Peripheral Vascular Field: A Narrative Review of the Literature

“…While an abundance of data can be found on the mortality of patients with peripheral arterial occlusive disease [49], lower limb revascularisations [50], abdominal aortic aneurysm [51], or carotid artery disease [52] in WECs, reports from CEECs, especially large-scale population studies, are rare [53,54].…”