دورية أكاديمية
Women of Childbearing Age Have Higher Mortality Rates Following Inpatient Interventions for Splenic Artery Aneurysms.
| العنوان: | Women of Childbearing Age Have Higher Mortality Rates Following Inpatient Interventions for Splenic Artery Aneurysms. |
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| المؤلفون: | Khoury MK; Division of Vascular and Endovascular Surgery, Department of Surgery, Massachusetts General Hospital, Boston, MA; Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address: mitri.khoury@gmail.com., Carney MH; Department of Radiology, Massachusetts General Hospital, Boston, MA., Tsai S; Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX; Surgical Service, Dallas Veterans Affairs Medical Center, Dallas, TX., Modrall JG; Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX; Surgical Service, Dallas Veterans Affairs Medical Center, Dallas, TX., Eagleton MJ; Division of Vascular and Endovascular Surgery, Department of Surgery, Massachusetts General Hospital, Boston, MA., Ramanan B; Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX; Surgical Service, Dallas Veterans Affairs Medical Center, Dallas, TX. Electronic address: bala.ramanan@utsouthwestern.edu. |
| المصدر: | Annals of vascular surgery [Ann Vasc Surg] 2023 Aug; Vol. 94, pp. 172-177. Date of Electronic Publication: 2023 Apr 05. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 8703941 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1615-5947 (Electronic) Linking ISSN: 08905096 NLM ISO Abbreviation: Ann Vasc Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2007->: Netherlands : Elsevier Original Publication: Detroit : [Published by Expansion scientifique française for Annals of Vascular Surgery, Inc. and Association pour la promotion de la chirurgie vasculaire, Paris, c1986- |
| مواضيع طبية MeSH: | Splenic Artery*/diagnostic imaging , Aneurysm*/diagnostic imaging , Aneurysm*/surgery, Pregnancy ; Humans ; Female ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Inpatients ; Risk Factors ; Treatment Outcome ; Hospital Mortality ; Retrospective Studies |
| مستخلص: | Background: Splenic artery aneurysms (SAAs) are the most common type of splanchnic aneurysms. Current guidelines recommend repair of SAAs in women of childbearing age because maternal mortality is high. The purpose of this study was to evaluate treatment modalities and outcomes following inpatient SAA repair in women. Methods: The National Inpatient Sample database from 2012 to 2018 was queried. Patients with SAAs were identified using International Classification of Diseases (ICD) 9 and 10 codes. Childbearing age was defined as 14-49 years. The primary outcome was in-hospital mortality. Results: A total of 561 patients were admitted with a diagnosis of SAA between the years of 2012 and 2018. There were 267 (47.6%) female patients and of these 103 (38.6%) were of childbearing age. The overall in-hospital mortality rate was 2.7% (n = 15). There were no differences in rates of elective admissions or type of repair (open versus endovascular) between women of childbearing age and the remainder of the cohort. However, women of childbearing age were significantly more likely to undergo a splenectomy compared to the remainder of the cohort (32.0% vs. 21.4%, P = 0.028). Women of childbearing age had higher rates of in-hospital mortality compared to the remainder of the cohort (5.8% vs. 2.0%, P = 0.040). Subset analysis of the women of childbearing age revealed that those undergoing a splenectomy versus no splenectomy (14.8% vs. 2.6%, P = 0.039) and those treated in the nonelective versus elective setting (10.5% vs. 0%, P = 0.032) had higher rates of in-hospital mortality. There was 1 patient with an ICD code associated with pregnancy and they survived. Conclusions: Women of childbearing age had higher in-hospital mortality following inpatient interventions for SAAs with all of the deaths occurring in the nonelective setting. These data support the pursuit of aggressive elective treatment of SAAs in women of childbearing age. (Copyright © 2023 Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20230406 Date Completed: 20230804 Latest Revision: 20240821 |
| رمز التحديث: | 20240821 |
| DOI: | 10.1016/j.avsg.2023.03.029 |
| PMID: | 37023919 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1615-5947 |
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| DOI: | 10.1016/j.avsg.2023.03.029 |