Epidemiology of abdominal aortic aneurysms in a Chinese population during introduction of endovascular repair, 1994 to 2013: A retrospective observational study

Medicine
Greta TamStephen Wing-Keung Cheng

Abstract

The aim of this study was to examine changes in abdominal aortic aneurysm repair and mortality during a period when endovascular aneurysm repair (EVAR) was introduced.Open repair surgery was the mainstay of treatment for abdominal aortic aneurysm (AAA), but EVAR is increasingly utilized. Studies in the Western population have reported improved short-term or postoperative mortality and shorter length of hospital stay with EVAR. However, scant data are available in the Chinese population.We conducted a retrospective observational study using the database of the Hospital Authority, which provides public health care to most of the Hong Kong population. AAA patients admitted to public hospitals for intact repair or rupture from 1994 to 2013 were included in this study. We calculated the incidence of ruptured AAA, annual repair rates according to type of AAA and surgery, as well as death rates (operative and overall short-term). We calculated whether there were significant changes over time and compared short-term mortality between open surgery and EVAR.One thousand eight hundred eighty-five patients were admitted for intact repair and 1306 patients were admitted for AAA rupture, of whom 795 underwent rupture repair. Intact repair ra...Continue Reading

References

Mar 5, 2003·World Journal of Surgery·Stephen W K ChengSimon H Y Tsang
Feb 16, 2006·Journal of Vascular Surgery·Roman NowygrodK Craig Kent
Aug 8, 2006·Journal of Vascular Surgery·Stefan AcostaZbigniew Zdanowski
Sep 6, 2008·Journal of Vascular Surgery·Leila MureebeJames F McKinsey
Jan 13, 2009·Journal of Vascular Surgery·Kristina A GilesMarc L Schermerhorn
Sep 29, 2009·Journal of Vascular Surgery·Natalia EgorovaK Craig Kent
Nov 9, 2010·Journal of Vascular Surgery·Paul E NormanJames B Semmens
Apr 5, 2011·The British Journal of Surgery·J J Earnshaw
May 26, 2012·Journal of Vascular Surgery·April E NedeauMark L Schermerhorn
Feb 25, 2014·Journal of Vascular Surgery·Anahita DuaSapan S Desai
Apr 14, 2016·Annals of Surgical Treatment and Research·Mi-Hyeong KimYong Sung Won
Dec 14, 2016·The New England Journal of Medicine·Alan KarthikesalingamMatthew M Thompson

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Software Mentioned

SPSS
EVAR
SPSS Statistics

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