Fate of patients unwilling or unsuitable to undergo surgical intervention for a ruptured abdominal aortic aneurysm.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 25542593.
- Also identified by DOI 10.1016/j.ejvs.2014.10.007.
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Abstract
The primary objective of this study was to assess the duration of in-hospital survival in 57 patients with ruptured abdominal aortic aneurysms (RAAA) who did not undergo surgical intervention. Two hours after registration in the emergency room, 58% (95% CI 45-71) of patients were still alive. The median survival was 2.2 hours (interquartile range 1-18). In a subgroup including 26 haemodynamically stable patients, survival after 2 hours was 96% (95% CI 89-100). In patients with an RAAA without surgical intervention, the duration of in-hospital survival is limited. However, a group of haemodynamically stable patients can be identified in whom survival is much longer.
Medical subject headings
- Aortic Aneurysm, Abdominal
- Aortic Rupture
- Treatment Refusal
- Vascular Surgical Procedures