Abstract
The present study was carried out to determine the risk factors associated with peri-operative mortality and long-term survival in patients undergoing abdominal aortic reconstructive surgery (ARS). A retrospective review was performed of the case notes of all patients having ARS at a university teaching hospital during a 5.5-year period, and their details entered onto a pro forma. A total of 252 patients underwent ARS between July 1989 and December 1994. The peri-operative mortality was 7.5%. The most frequent adverse events were cardiac events, accounting for 8 (42%) of the peri-operative deaths. The risk of a peri-operative cerebrovascular accident was low (n = 3, 1.2%) as was the risk of peri-operative renal failure requiring dialysis (n = 3, 1.2%). Factors independently linked to increased peri-operative mortality included moderate-to-severe hypertension (P = 0.05, odds ratio = 3.54), those with renal impairment (P = 0.05, odds ratio = 2.69), and blood transfusion requirements (P < 0.001, odds ratio = 1.26). Long-term survival was independently shortened by occlusive disease (P = 0.004, hazard ratio = 2.78) and ischaemic heart disease (P < 0.001, hazard ratio = 3.58). The risks of ARS were significantly increased in patient...Continue Reading
References
Nov 1, 1979·Archives of Surgery·N R HertzerE G Beven
Dec 1, 1977·American Journal of Surgery·J B BrenowitzW S Edwards
Jul 1, 1991·The British Journal of Surgery·L Chadwick, R B Galland
Nov 1, 1989·Journal of the American College of Cardiology·V L RogerB J Gersh
Dec 12, 1987·Lancet·J N Lunn, H B Devlin
Dec 1, 1988·Journal of Vascular Surgery·J D BakerC K Zarins
Jun 1, 1986·Journal of Vascular Surgery·J R CohenA D Whittemore
Oct 1, 1985·Critical Care Medicine·W A KnausJ E Zimmerman
Nov 1, 1980·World Journal of Surgery·R C Darling, D C Brewster
Jun 1, 1981·Annals of Surgery·E S CrawfordA Silvers
Aug 1, 1981·Critical Care Medicine·W A KnausD E Lawrence
Nov 1, 1981·Archives of Surgery·O W BrownR A McCready
Aug 1, 1994·Mayo Clinic Proceedings·J W HallettP C Pairolero
Aug 1, 1994·Journal of Vascular Surgery·K W Johnston
Oct 21, 1961·JAMA : the Journal of the American Medical Association·R D DRIPPSJ E ECKENHOFF
Citations
Feb 15, 2005·Current Surgery·Gopal C KowdleyRobert Karp
Aug 5, 2000·Transfusion Science·V Pinto García
May 5, 2001·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·P E NormanM M Lawrence-Brown
Aug 19, 2004·ANZ Journal of Surgery·Pei HoStephen W K Cheng
Jan 27, 2007·Journal of the American College of Surgeons·Atul A GawandeMichael J Zinner
Aug 17, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S Aune
Jun 29, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S ShantikumarA Handa
May 15, 2001·The British Journal of Surgery·P J BaylyD G Thomas
Sep 6, 2002·Nature·Shinji TodaTakeshi Sagiya