Ruptured Abdominal Aortic Aneurysm: Prediction of Mortality From Clinical Presentation and Glasgow Aneurysm Score

Journal of Cardiothoracic and Vascular Anesthesia
Toby N WeingartenJuraj Sprung

Abstract

To examine association of presenting clinical acuity and Glasgow Aneurysm Score (GAS) with perioperative and 1-year mortality. Retrospective chart review. Major tertiary care facility. Patients with ruptured abdominal aortic aneurysm (rAAA) from 2003 through 2013. Emergency repair of rAAA. The authors reviewed outcomes after stable versus unstable presentation and by GAS. Unstable presentation included hypotension, cardiac arrest, loss of consciousness, and preoperative tracheal intubation. In total, 125 patients (40 stable) underwent repair. Perioperative mortality rates were 41% and 12% in unstable and stable patients, respectively (p<0.001). Unstable status had 88% sensitivity and 41% specificity for predicting perioperative mortality. Using logistic regression, higher GAS was associated with perioperative mortality (p<0.001). Using receiver operating characteristic analysis, the area under the curve was 0.72 (95% CI, 0.62-0.82) and cutoff GAS≥96 had 63% and 72% sensitivity and specificity, respectively. Perioperative mortality for GAS≥96 was 51% (25/49), whereas it was 20% (15/76) for GAS≤95. The estimated 1-year survival (95% CI) was 75% (62%-91%) for stable patients and 48% (38%-60%) for unstable patients. Estimated 1-yea...Continue Reading

References

Jan 1, 1996·Journal of Vascular Surgery·D T HardmanM Appleberg
Oct 1, 1996·Journal of Vascular Surgery·J C ChenY N Hsiang
Mar 23, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·H W KniemeyerM K Widmer
May 25, 2002·The British Journal of Surgery·M J BownR D Sayers
Oct 23, 2004·The British Journal of Surgery·S J KorhonenUNKNOWN Finnvasc Study Group
Nov 14, 2006·Journal of Vascular Surgery·Stefan AcostaZbigniew Zdanowski
Aug 28, 2007·World Journal of Surgery·Andrew TambyrajaRoderick Chalmers
Dec 24, 2008·Annals of the Royal College of Surgeons of England·Marcel GattEugene P Perry
Apr 22, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S C van BeekR Balm
Dec 2, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P De Rango
Dec 10, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S C van BeekUNKNOWN Amsterdam Acute Aneurysm Trial Collaborators

❮ Previous
Next ❯

Citations

Aug 9, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Katrina HopeRonelle Mouton
Aug 6, 2016·Circulation·Hooman KamelRichard B Devereux

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Related Papers

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Elina QuirogaBenjamin W Starnes
European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
J R BoyleM J Phillips
European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
S J LaukontausV Pettilä
© 2021 Meta ULC. All rights reserved