지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.91 No.6
- 발행연도
- 2016.12
- 수록면
- 303 - 308 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: The aim of this study was to confirm the factors that affect the mortality associated with the open surgical repair of ruptured abdominal aortic aneurysm (rAAA) and to analyze the long-term survival rates.
Methods: A retrospective review was performed on a prospectively collected database that included 455 consecutive patients who underwent open surgical repair for AAA between January 2001 and December 2012. We divided our analysis into in-hospital and postdischarge periods and analyzed the risk factors that affected the long-term survival of rAAA patients.
Results: Of the 455 patients who were initially screened, 103 were rAAA patients, and 352 were non-rAAA (nAAA) patients. In the rAAA group, 25 patients (24.2%) died in the hospital and 78 were discharged. Long-term survival was significantly better in the nAAA group (P = 0.001). The 2-, 5-, and 10-year survival rates of the rAAA patients were 87%, 73.4%, and 54.1%, respectively. Age (hazard ratio [HR], 1.05; 95% confidence interval [CI], 1.02–1.08; P < 0.001) and aneurysm rupture (HR, 1.96; 95% CI, 1.12–3.44; P = 0.01) significantly affected long-term survival.
Conclusion: Preoperative circulatory failure is the most common cause of death for in-hospital mortality of rAAA patients. After excluding patients who have died during the perioperative period, age is the only factor that affects the survival of rAAA patients.
Methods: A retrospective review was performed on a prospectively collected database that included 455 consecutive patients who underwent open surgical repair for AAA between January 2001 and December 2012. We divided our analysis into in-hospital and postdischarge periods and analyzed the risk factors that affected the long-term survival of rAAA patients.
Results: Of the 455 patients who were initially screened, 103 were rAAA patients, and 352 were non-rAAA (nAAA) patients. In the rAAA group, 25 patients (24.2%) died in the hospital and 78 were discharged. Long-term survival was significantly better in the nAAA group (P = 0.001). The 2-, 5-, and 10-year survival rates of the rAAA patients were 87%, 73.4%, and 54.1%, respectively. Age (hazard ratio [HR], 1.05; 95% confidence interval [CI], 1.02–1.08; P < 0.001) and aneurysm rupture (HR, 1.96; 95% CI, 1.12–3.44; P = 0.01) significantly affected long-term survival.
Conclusion: Preoperative circulatory failure is the most common cause of death for in-hospital mortality of rAAA patients. After excluding patients who have died during the perioperative period, age is the only factor that affects the survival of rAAA patients.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (23)
참고문헌 신청
[학술지(정기간행물)] - Mastracci TM. / 2008 / Endovascular repair of rup tured abdominal aortic aneurysms : a systematic review and meta-analysis / J Vasc Surg 47 : 214 ~ 221
[학술지(정기간행물)] - Bonardelli S. / 2011 / Open sur gery in endovascular aneurysm repair era : simplified classification in two risk groups owing to factors affecting mortality in 137 ruptured abdominal aortic aneurysms(RAAAs) / Updates Surg 63 : 39 ~ 44
[학술지(정기간행물)] - Scarcello E. / 2010 / A new preoperative predictor of outcome in ruptured abdominal aortic aneurysms : the time before shock(TBS) / Ann Vasc Surg 24 : 315 ~ 320
[학술지(정기간행물)] - Davies RS. / 2010 / Outcome in pa tients requiring renal replacement ther apy after open surgical repair for ruptured abdominal aortic aneurysm / Vasc Endovascular Surg 44 : 170 ~ 173
[학술지(정기간행물)] - Antonopoulos CN. / 2014 / Pre dic tors affect ing in-hospital mortality of rup tured abdominal aortic aneurysms : a Greek multicenter study / Ann Vasc Surg 28 : 138490 ~
[학술지(정기간행물)] - Bonardelli S. / 2011 / Open sur gery in endovascular aneurysm repair era : simplified classification in two risk groups owing to factors affecting mortality in 137 ruptured abdominal aortic aneurysms(RAAAs) / Updates Surg 63 : 39 ~ 44
[학술지(정기간행물)] - Scarcello E. / 2010 / A new preoperative predictor of outcome in ruptured abdominal aortic aneurysms : the time before shock(TBS) / Ann Vasc Surg 24 : 315 ~ 320
[학술지(정기간행물)] - Davies RS. / 2010 / Outcome in pa tients requiring renal replacement ther apy after open surgical repair for ruptured abdominal aortic aneurysm / Vasc Endovascular Surg 44 : 170 ~ 173
[학술지(정기간행물)] - Antonopoulos CN. / 2014 / Pre dic tors affect ing in-hospital mortality of rup tured abdominal aortic aneurysms : a Greek multicenter study / Ann Vasc Surg 28 : 138490 ~
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UCI(KEPA) : I410-ECN-0101-2017-514-001873143