Clinical outcome of early relaparotomy after elective open repair of abdominal aortic aneurysms
Annals of Surgical Treatment and Research
; : 160-165, 2015.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-115876
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
The aim of this study was to retrospectively evaluate the association of need for early relaparotomy with clinical outcomes after elective open repair of abdominal aortic aneurysms (AAAs).METHODS:
A total of 292 consecutive patients who underwent elective open AAA repair at Asan Medical Center from January 2001 to December 2010 were included in this study, and we compared the demographics, clinical characteristics, related risk factors, and clinical outcomes of early relaparotomy versus nonrelaparotomy patients.RESULTS:
The incidence of early relaparotomy during a single hospital stay was 4.1% (n = 12), and the most common causes were bowel ischemia (n = 5, 41.7%) and postoperative bleeding (n = 3, 25.0%). Among the demographics and clinical characteristics significantly associated with relaparotomy were age (P = 0.025), chronic obstructive pulmonary disease (COPD) (P = 0.010), number of RBC units transfused during the AAA repair (P = 0.022) and in the following week (P = 0.005), and length of intensive care (P < 0.001) and overall hospital stay (P < 0.001). On multivariate analysis, presence of COPD (P = 0.009) and number of RBC units transfused during the AAA repair (P = 0.006) were statistically significantly associated with relaparotomy. Furthermore, early relaparotomy was associated with perioperative (within 30 days) (P = 0.048) and overall in-hospital mortality (P = 0.001).CONCLUSION:
Early relaparotomy has an adverse effect on clinicaloutcomes:
increased mortality and hospital length of stay. Presence of COPD and need for RBC transfusion are associated with early relaparotomy.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Doença Cardiovascular
/
Doença Pulmonar Obstrutiva Crônica (DPOC)
/
Outras Doenças Respiratórias
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Procedimentos Cirúrgicos Vasculares
/
Demografia
/
Incidência
/
Análise Multivariada
/
Estudos Retrospectivos
/
Fatores de Risco
/
Mortalidade
/
Resultado do Tratamento
/
Mortalidade Hospitalar
/
Aneurisma da Aorta Abdominal
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Aspecto:
Determinantes sociais da saúde
Limite:
Humanos
Idioma:
Inglês
Revista:
Annals of Surgical Treatment and Research
Ano de publicação:
2015
Tipo de documento:
Artigo