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
Apr 1, 2005·The British Journal of Surgery·A L TambyrajaR T A Chalmers
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
Jun 6, 2012·Yonsei Medical Journal·Sang Dong KimSang Seob Yun
Jan 15, 2014·BMJ : British Medical Journal·Janet T PowellPinar Ulug
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
May 9, 2015·Journal of Vascular Surgery·Eric S WiseColleen M Brophy
Citations
Aug 9, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Katrina HopeRonelle Mouton
Aug 6, 2016·Circulation·Hooman KamelRichard B Devereux
Jan 2, 2019·Journal of Vascular Surgery·Spencer K HansenBrandon Ty Garland