Mortality from ruptured abdominal aortic aneurysms. A comparison of two series

Anthony A. Meyer, Richard E. Ahlqulst, Donald Trunkey

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Series of ruptured abdominal aortic aneurysms from a municipal teaching hospital and from a group of private surgeons practicing at four community hospitals were compared for hemodynamic status and time to operation, as well as mortality. The overall mortality rate was 61 percent for the municipal hospital series and 32 percent for the community hospital series, which was significantly different (p = 0.003). The municipal hospital series had a significantly greater number of patients in shock before operation, as well as a greater number of patients transported directly to the operating room. The community hospital series had a significantly greater number of patients with a more than 6 hour delay in diagnosis and delays in surgical exploration. When those patients in shock who were brought directly to the operating room were compared, there was no statistical difference between the two series. Further reviews of ruptured abdominal aortic aneurysms should attempt to identify groups of patients by their hemodynamic status when evaluating treatment.

Original languageEnglish (US)
Pages (from-to)27-33
Number of pages7
JournalThe American Journal of Surgery
Volume152
Issue number1
DOIs
StatePublished - 1986
Externally publishedYes

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Aortic Rupture
Abdominal Aortic Aneurysm
Municipal Hospitals
Community Hospital
Mortality
Operating Rooms
Shock
Hemodynamics
Teaching Hospitals

ASJC Scopus subject areas

  • Surgery

Cite this

Mortality from ruptured abdominal aortic aneurysms. A comparison of two series. / Meyer, Anthony A.; Ahlqulst, Richard E.; Trunkey, Donald.

In: The American Journal of Surgery, Vol. 152, No. 1, 1986, p. 27-33.

Research output: Contribution to journalArticle

Meyer, Anthony A. ; Ahlqulst, Richard E. ; Trunkey, Donald. / Mortality from ruptured abdominal aortic aneurysms. A comparison of two series. In: The American Journal of Surgery. 1986 ; Vol. 152, No. 1. pp. 27-33.
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