Chirurgie von rupturierten Aneurysmen der Bauchaorta und Iliakalarterien: Mortalitat und Fruhmorbiditat. [Surgery of ruptured aneurysms of the abdominal aorta and iliac arteries: mortality and early morbidity]

Details

Serval ID
serval:BIB_B0DC8ED6E5D6
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Chirurgie von rupturierten Aneurysmen der Bauchaorta und Iliakalarterien: Mortalitat und Fruhmorbiditat. [Surgery of ruptured aneurysms of the abdominal aorta and iliac arteries: mortality and early morbidity]
Journal
Helvetica Chirurgica Acta
Author(s)
Bauer  E. P., Weber  E. E., Laske  A., von Segesser  L. K., Turina  M.
ISSN
0018-0181
Publication state
Published
Issued date
01/1991
Volume
57
Number
4
Pages
639-43
Notes
English Abstract
Journal Article --- Old month value: Jan
Abstract
Two hundred patients with ruptured aneurysms of abdominal aorta and iliac artery were operated between 1979 and 1988. There were 179 males and 21 females with a mean age of 69 years (range 51 to 90 years). A total of 53/200 (27%) patients died in the hospital; of these 12/200 (6%) died intraoperatively. In following groups mortality was significantly higher: age greater than 70 years (37% vs 17%; p less than 0.01), preoperative shock (36% vs 14%; p less than 0.01), duration of symptoms greater than 12 hours (33% vs 17%; p less than 0.01), operative time greater than 240 min (53% vs 20%; p less than 0.01), intraoperative resuscitation (83% vs 21%; p less than 0.01), amount of volume greater than 4 liters (29% vs 12%; p less than 0.01) and intraperitoneal rupture (40% vs 24%; p less than 0.05). Location of rupture (suprarenal, infrarenal, iliac vessel), location of aortic clamping and the experience of the surgeon also influenced mortality but not significantly.
Keywords
Aged Aged, 80 and over Aortic Aneurysm/mortality/*surgery Aortic Rupture/mortality/*surgery *Emergencies Female Humans Iliac Artery/*surgery Male Middle Aged Postoperative Complications/*mortality Risk Factors Rupture, Spontaneous Survival Rate
Pubmed
Web of science
Create date
14/02/2008 14:17
Last modification date
20/08/2019 15:19
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