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Mortality from ruptured abdominal aortic aneurysm in Wales
P S Basnyat1, A H Biffin, L G Moseley
1East Glamorgan General Hospital, Pontypridd, UK.
The British Journal of Surgery
|June 26, 1999
Summary
This study investigated ruptured abdominal aortic aneurysm (AAA) cases in Wales, finding high mortality rates regardless of surgeon specialty. Vascular surgeons managed more cases and had lower patient refusal rates.
Area of Science:
- Vascular Surgery
- Epidemiology
- Public Health
Background:
- Ruptured abdominal aortic aneurysm (AAA) poses a significant health challenge.
- Understanding the incidence and mortality of ruptured AAA is crucial for improving patient outcomes.
Purpose of the Study:
- To determine the incidence of ruptured AAA in Wales.
- To analyze mortality rates in patients with ruptured AAA who reach the hospital alive.
Main Methods:
- Prospective data collection from September 1996 to August 1997.
- Analysis of 233 confirmed ruptured AAA cases.
- Comparison of outcomes based on surgeon specialty (vascular vs. non-vascular).
Main Results:
- Incidence of ruptured AAA was eight per 100,000 population.
- 57% of patients underwent attempted repair, with a 64% 30-day mortality rate.
- Mortality rates were similar between vascular and non-vascular surgeons, but vascular surgeons operated on a higher proportion of patients.
Conclusions:
- Mortality in ruptured AAA patients reaching the hospital alive was independent of the operating surgeon.
- Vascular surgeons were less likely to decline operating on patients compared to non-vascular surgeons.
- This study provides unique prospective data on ruptured AAA mortality.
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