%0 Journal Article
%T Predictors of Outcome after Open Repair of Ruptured Abdominal Aortic Aneurysms
%A Hao-Jui Li
%A Tsung-Chi Kao
%A Dah-Wel Liu
%A Sheng-Yueh Yu
%J Chang Gung Medical Journal
%D 2011
%I 
%X Background: To determine predictors associated with early hospital death, 30-day mortality, and long-term survival after open surgical treatment of ruptured abdominal aortic aneurysms (RAAAs).Methods: A retrospective chart review of 127 consecutive patients who received opensurgical treatment of a RAAA at Chang Gung Memorial Hospital, Taiwan,from February 1994 to May 2007. Data recorded included patient characteristics, medical history, perioperative variables, and outcomes.Results: There were 104 men and 23 women with a mean age of 70 12 years in theanalysis. Patients with RAAAs were classified into two groups; 100 (78.7%)patients were classified as group I (hemodynamically stable), and 27 (21.3%)patients were classified as group II (hemodynamically unstable at arrival).T h e 3 0 - d a y mo r t a l i t y wa s 2 2% f o r g r o u p I a n d 7 4 . 1% f o r g r o u p I I .Multivariate analysis identified age > 75 years old (odds ratio [OR], 0.083;95% confidence interval [CI] 0.02-0.36), hemodynamically unstable state(OR, 0.081; 95% CI 0.016-0.4), blood transfusion > 5 L (OR, 0.14; 95% CI0.038-0.54), intraperitoneal rupture (OR, 7.2; 95% CI 1.4-36), urine output <0.5 mL/kg/min (OR, 22; 95% CI 4.6-110), and suprarenal cross-clamping(OR, 0.083; 95% CI 0.019-0.36) as incremental risk factors for 30-day mortality.Conclusion: Significant predictors of mortality in patients with RAAAs include hemodynamically unstable state, age > 75 years old, intraperitoneal rupture, lowintraoperative urine output, and suprarenal cross-clamping.
%K ruptured abdominal aortic aneurysm (RAAA)
%U http://memo.cgu.edu.tw/cgmj/3405/340509.pdf