دورية أكاديمية
A 20-Year Analysis of Ruptured Abdominal Aortic Aneurysm Outcomes and Associated Factors in Korea.
| العنوان: | A 20-Year Analysis of Ruptured Abdominal Aortic Aneurysm Outcomes and Associated Factors in Korea. |
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| المؤلفون: | Jo EA; Department of Surgery, Seoul National University College of Medicine, Seoul, Korea; Department of Surgery, Seoul National University Bundang Hospital, Seongnam-si, Korea., Ahn S; Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. Electronic address: bbahn77@gmail.com., Mo H; Department of Surgery, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea., Jung IM; Department of Surgery, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea., Kim HK; Department of Surgery, Korea University Guro Hospital, Seoul, Korea., Ko H; Department of Surgery, Kyung Hee University Medical Center, Seoul, Korea., Han A; Department of Surgery, Seoul National University College of Medicine, Seoul, Korea., Min S; Department of Surgery, Seoul National University College of Medicine, Seoul, Korea., Ha J; Department of Surgery, Seoul National University College of Medicine, Seoul, Korea., Min SK; Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. |
| المصدر: | Annals of vascular surgery [Ann Vasc Surg] 2024 May; Vol. 102, pp. 152-159. Date of Electronic Publication: 2024 Feb 01. |
| نوع المنشور: | Multicenter Study; 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: | Endovascular Procedures* , Aortic Aneurysm, Abdominal*/diagnostic imaging , Aortic Aneurysm, Abdominal*/surgery , Aortic Aneurysm, Abdominal*/complications , Blood Vessel Prosthesis Implantation*/adverse effects , Aortic Rupture*/diagnostic imaging , Aortic Rupture*/surgery , Aortic Rupture*/etiology, Humans ; Treatment Outcome ; Risk Factors ; Republic of Korea/epidemiology ; Retrospective Studies ; Postoperative Complications/etiology |
| مستخلص: | Background: Unlike western countries, which have reported distinct decreases in incidence of ruptured abdominal aortic aneurysm (rAAA) over the last few decades, epidemiologic studies in Korea have not shown significant changes in incidence or mortality of rAAA. The purpose of this study was to analyze the changes in rAAA treatment outcomes and various associated risk factors over the past 2 decades. Methods: A 20-year retrospective multicenter review for rAAA cases from the period of January 2000 to December 2020 was undertaken. Preoperative, intraoperative and postoperative clinical data were extracted for patients diagnosed with rAAA. For analysis, outcomes from the early era, defined as patients treated between January 1, 2000, and December 31, 2010, were compared with outcomes from the late era, defined as patients treated between January 1, 2011, and December 31, 2020. Results: The total in-hospital mortality was 34.1% in the early era compared to 44.8% in the late era. Patients in the late era were older than those in the early era (75.2 ± 10.3 years vs. 70.3 ± 8.9 years; P = 0.009). Treatment with rAAA endovascular aneurysm repair increased from 2.3% in early to 13.8% in late era (P = 0.031). In the early era, more patients were operated by experienced surgeons than the late era (78.1% vs. 45.9%; P = 0.002). The emergency room to operating room time did not show improvement over the 20 years. Conclusions: The results indicate that mortality rate of rAAA in Korea has not changed over the last 2 decades. The study suggests the need for national preventive strategies, improved systemic coordination, and potential centralization of vascular services to enhance survival rates for rAAA. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20240202 Date Completed: 20240408 Latest Revision: 20240426 |
| رمز التحديث: | 20240426 |
| DOI: | 10.1016/j.avsg.2023.10.033 |
| PMID: | 38307230 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1615-5947 |
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| DOI: | 10.1016/j.avsg.2023.10.033 |