Factors Affecting the Postoperative Mortality in the Ruptured Abdominal Aortic Aneurysm
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 230-235, 2012.
Artigo
em Inglês
| WPRIM
| ID: wpr-64035
ABSTRACT
BACKGROUND:
Although patients with a ruptured abdominal aortic aneurysm (RAAA) often reach the hospital alive, the perioperative mortality is still very high. We retrospectively reviewed thirty patients who underwent repair of RAAA to identify the factors affecting postoperative mortality in a single hospital. MATERIALS ANDMETHODS:
Between September 2007 and May 2011, thirty patients with RAAA underwent emergent surgery (n=27) or endovascular aneurysm repair (n=3). Their medical records were retrospectively reviewed regarding three categories 1) preoperative patient status age, gender, vital signs, serum creatinine, blood urea nitrogen, hematocrit, and hemoglobin level 2) aneurysmal status size, type, and rupture status; and 3) operative factors interval time to operating room, operative duration, and amount of perioperative transfusion.RESULTS:
The 30-day postoperative mortality rate was 13.3% (4/30); later mortality was 3.3% (1/30). On multivariate analysis, the initial diastolic blood pressure (BP), interval time to operating room and amount of preoperative packed cell transfusion were statistically significantly linked with postoperative mortality (p<0.05).CONCLUSION:
In this study, preoperative diastolic BP, preoperative packed cell transfusion amount and interval time between arrival and entry to operating room were significantly associated with postoperative mortality. It is important to prevent hemorrhage as quickly as possible.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Salas Cirúrgicas
/
Ruptura
/
Pressão Sanguínea
/
Transfusão de Sangue
/
Nitrogênio da Ureia Sanguínea
/
Hemoglobinas
/
Prontuários Médicos
/
Análise Multivariada
/
Estudos Retrospectivos
/
Aneurisma da Aorta Abdominal
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2012
Tipo de documento:
Artigo
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