The influence of gender on outcome after ruptured abdominal aortic aneurysm

Abstract

Gender has no influence on either short-term or long-term outcome for patients undergoing operative repair of RAAA. However, women are less likely to be selected for operation than their male counterparts.

Quantification of mortality risk after abdominal aortic aneurysm repair

“…The mortality rates for both elective and emergency surgery were consistent with reported values 10 and the finding that sex was not a significant outcome predictor was also in agreement with previously published studies in the UK 28,29 . Although the study included data collected over 9 years, raising the possibility of temporal changes in patterns of practice on outcomes, the year of operation was not a significant predictor of outcome.…”

More patients are treated for nonruptured abdominal aortic aneurysms, but the proportion of women remains unchanged

“…Authors have reported that women are less likely than men to be offered surgical intervention for ruptured AAA, even after consideration of age and comorbidities. 9,11,20,28 Again, the limitation of our study is that no conclusions can be drawn about the number of patients who were admitted but did not undergo surgery.…”

Do Scoring Systems Help in Predicting Survival Following Ruptured Abdominal Aortic Aneurysm Surgery?

“…16,17,22 These include pre-operative cardiac, renal and neurological failure. Increased age 23 and the female gender 24 have also been associated with poorer outcomes. The postoperative mortality in this cohort was 61% rising to 75% when all patients, including those treated conservatively, are considered.…”

“…Whilst the authors do not intentionally preclude surgery based solely on a patient's chronological age or indeed gender, these findings are once again consistent with numerous other studies in the literature. In a study of 692 patients with a rAAA, Evans et al 24 reported that females were less likely to be selected for an operation than their male counterparts, and that women who were not operated on were significantly older than men. Similarly, from their series of 3570 patients, Dueck et al 25 reported that men were more likely to undergo surgical repair than women, at 80% versus 58%.…”