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Ruptured versus elective abdominal aortic aneurysm repair: outcome and cost
E Ascher1, M Scheinman, P DePippo
1Division of Vascular Surgery, Department of Surgery, Maimonides Medical Center, Brooklyn, NY 11219, USA.
Annals of Vascular Surgery
|December 14, 1999
Summary
Ruptured abdominal aortic aneurysm (RAAA) repair shows high survival (90%) but significant morbidity (60%). Elective AAA repair offers substantial cost savings that could fund screening programs for early detection.
Area of Science:
- Vascular Surgery
- Aortic Aneurysm Research
- Health Economics
Background:
- Abdominal aortic aneurysms (AAA) pose significant health risks.
- Ruptured AAA (RAAA) presents a critical surgical emergency.
- Elective AAA (EAAA) repair is a planned procedure with different outcomes.
Purpose of the Study:
- To compare survival, morbidity, and financial impact of RAAA repair versus EAAA repair.
- To assess the current outcomes of RAAA treatment.
- To explore cost-effectiveness and screening strategies for AAA.
Main Methods:
- Retrospective comparison of 10 RAAA patients with 10 randomly selected EAAA patients.
- Analysis of survival rates and postoperative morbidity.
- Evaluation of financial differences between RAAA and EAAA repair.
Main Results:
- RAAA repair achieved 90% survival but 60% morbidity.
- Patient demographics and comorbidities were comparable between RAAA and EAAA groups.
- EAAA repair yielded significant cost savings ($93,139.21 per patient).
Conclusions:
- While RAAA survival has improved, morbidity remains high.
- Early AAA detection through screening is crucial.
- Cost savings from EAAA could fund widespread AAA screening ultrasound tests.