Vascular Comorbidities and Demographics of Patients With Ruptured Abdominal Aortic Aneurysms

Vänni, Ville; Turtiainen, Johanna; Hakala, Thomas R.

doi:10.1016/j.jvs.2016.06.053

Cited by 4 publications

(5 citation statements)

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“…Interestingly, a decreasing trend in incidence similar to that described in the present study was not evident in all parts of Finland. In the region of Pirkanmaa and Joensuu, the rAAA incidence from 2001 to 2011 was 6·5 per 100 000, similar to that in the 1990s.…”

Section: Discussionmentioning

confidence: 52%

Population-based study of ruptured abdominal aortic aneurysm

Laine

Laukontaus

Kantonen

et al. 2016

British Journal of Surgery

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Section: Discussionmentioning

confidence: 52%

Population-based study of ruptured abdominal aortic aneurysm

Laine

Laukontaus

Kantonen

et al. 2016

British Journal of Surgery

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“…Unlike previous investigations, postoperative mortality data were presented in terms of both short‐term (30‐day) and longer (90‐day and 1‐year) mortality. Some other studies did not find any sex differences in postoperative mortality among patients with rAAA.…”

Section: Discussionmentioning

confidence: 74%

Sex differences in repair rates and outcomes of patients with ruptured abdominal aortic aneurysm

Zommorodi

Bottai

Hultgren

2019

British Journal of Surgery

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Background: Data are conflicting on sex differences in ruptured abdominal aortic aneurysm (rAAA) repair rates and outcomes have rarely been addressed. The aim of this study was to investigate differences in the management and outcome of rAAA in men and women, and to describe time trends over a 15-year interval.Methods: Data on patients with rAAA were extracted from the Swedish National Patient Registry and the Cause of Death Registry for the interval 2001-2015. The study included patients with rAAA whether or not they were admitted to any hospital in Sweden. A propensity score-matched model was used to determine sex differences in repair type and outcome after rupture. Time trends for rAAA events and mortality were investigated.Results: Some 10 724 patients were identified. A higher percentage of men were admitted to hospital (79⋅8 versus 77⋅5 per cent; P = 0⋅011). Of those admitted, a higher percentage of men than women were treated (56⋅6 versus 40⋅4 per cent, P < 0⋅001). Women were less likely to be treated when diagnosed with rAAA (average treatment effect (ATE) in the model -0⋅080, 95 per cent c.i. -0⋅106 to -0⋅055; P < 0⋅001). Thirty-day mortality was also higher in women (ATE 0⋅094, 0⋅053 to 0⋅135; P < 0⋅001); this effect persisted to 1 year (ATE 0⋅095, 0⋅052 to 0⋅137; P < 0⋅001). Time trends indicated a decrease in rAAA incidence, mostly owing to a decrease among men.Conclusion: In this study, fewer women with rAAA received surgery and 30-day mortality was higher than in men. There was an overall decrease in rAAA incidence, principally in men.

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“…Given that vascular surgery patients are generally older and functionally limited, a consult system that is more easily accessible than the traditional in-person consultation could fill a necessary gap in the care of our patients. 15,16 This study provides utilization, compliance rates, and long-term outcomes after eConsult and shows its relative effectiveness and safety in comparison to current outcomes after traditional consultation. Anecdotally, the patients and providers appreciate this service, given travel times for patients and the directness to the referring physician.…”

Section: Discussionmentioning

confidence: 99%

“…Reported annual incidence of amputation in patients with PAD ranged from 2.5% to 25%, depending on severity of chronic limb ischemia. [16][17][18][19][20] Patients evaluated by eConsults who had a diagnosis of CS had a 1-year MI rate of 3.2% and a 1-year stroke or TIA rate of 2.2%. Annual rates of vascular events in CS patients have been reported as 0.6% to 7% for MI/ myocardial ischemia and 2.7% to 9.9% for TIA/stroke, depending on percentage stenosis.…”

Section: Journal Of Vascular Surgerymentioning

confidence: 99%