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Observational Study
. 2020 Jun;44(6):2020-2027.
doi: 10.1007/s00268-020-05457-7.

Long-Term Outcomes After Open Repair for Ruptured Abdominal Aortic Aneurysm

Andreas Reite  1 , Kjetil Søreide  2   3 , Jan Terje Kvaløy  4   5 , Morten Vetrhus  6   7
Affiliations
Observational Study

Long-Term Outcomes After Open Repair for Ruptured Abdominal Aortic Aneurysm

Andreas Reite et al. World J Surg. 2020 Jun.

Abstract

Background: Early mortality in ruptured abdominal aneurysm (rAAA) is high, but data on long-term outcome are scarce. The aim of this study was to investigate the long-term outcome in survivors after open surgery for rAAA in well-defined population.

Methods: This is a population-based, observational long-term follow-up (beyond 30-day mortality) study of patients surgically treated for rAAA from 2000 through 2014. Long-term survival was analysed using Kaplan-Meier estimates and compared to the general population by analyses of relative survival.

Results: Out of 178 patients operated for rAAA, 95 patients (55%) either died in the perioperative period, were referred from other hospitals or were lost to follow-up (two patients). Altogether 83 patients were eligible for long-term outcomes: 72 men and 11 women. Estimated median crude survival time was 6.5 years [95% confidence interval (CI) 4.8-8.2]. Men had a median survival of 7.3 years (95% CI 5.1-9.4) versus 5.4 years in females (95% CI 3.5-7.3) (P = 0.082). Reinterventions during follow-up occurred in 31 (37%). Relative survival demonstrated a slightly higher risk of death in the rAAA population compared to the general age- and gender-matched population. Age, but not comorbidities, had a significant influence on long-term survival.

Conclusion: For survivors beyond 30 days after surgery for rAAA, long-term survival compares well to that of an age- and sex-matched population. A high frequency of cardiovascular comorbidities did not seem to affect long-term survival.

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Figures

Fig. 1
Fig. 1
Patient population with selection criteria
Fig. 2
Fig. 2
Crude survival. Legend: interval from time of operation to 12 years post-operatively. Number at risk displayed below. The solid line represents the crude survival, and the dotted lines represent 95% CI
Fig. 3
Fig. 3
Relative survival. Legend: interval from time of operation to 12 years post-operatively. The solid line represents the relative survival, and the dotted lines represent 95% CI
See this image and copyright information in PMC

References

    1. Reite A, Soreide K, Ellingsen CL, et al. Epidemiology of ruptured abdominal aortic aneurysms in a well-defined Norwegian population with trends in incidence, intervention rate, and mortality. J Vasc Surg. 2015;61(5):1168–1174. doi: 10.1016/j.jvs.2014.12.054. - DOI - PubMed
    1. Reimerink JJ, van der Laan MJ, Koelemay MJ, et al. Systematic review and meta-analysis of population-based mortality from ruptured abdominal aortic aneurysm. Br J Surg. 2013;100(11):1405–1413. doi: 10.1002/bjs.9235. - DOI - PubMed
    1. Brattheim BJ, Eikemo TA, Altreuther M, et al. Regional disparities in incidence, handling and outcomes of patients with symptomatic and ruptured abdominal aortic aneurysms in Norway. Eur J Vasc Endovasc Surg. 2012;44(3):267–272. doi: 10.1016/j.ejvs.2012.04.029. - DOI - PubMed
    1. Hultgren R, Zommorodi S, Gambe M, et al. A majority of admitted patients with ruptured abdominal aortic aneurysm undergo and survive corrective treatment: a population-based retrospective cohort study. World J Surg. 2016;40(12):3080–3087. doi: 10.1007/s00268-016-3705-9. - DOI - PMC - PubMed
    1. Bown MJ, Sutton AJ, Bell PR, et al. A meta-analysis of 50 years of ruptured abdominal aortic aneurysm repair. Br J Surg. 2002;89(6):714–730. doi: 10.1046/j.1365-2168.2002.02122.x. - DOI - PubMed

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