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Aortic aneurysm repair in a peripheral setting: audit 100 consecutive cases
Isaac M Cranshaw1, Nicola C Wilson, John M Fleischl
1Department of Surgery, Healthcare Hawke's Bay, Hastings, New Zealand. izak@ihug.co.nz
ANZ Journal of Surgery
|May 2, 2002
Summary
Peripheral general surgeons can achieve favorable outcomes in aortic aneurysm repair. This study found mortality rates comparable to larger vascular centers, supporting continued aortic surgery in community hospitals.
Area of Science:
- Vascular Surgery
- Aortic Aneurysm Repair
- Surgical Outcomes
Background:
- Centralization of vascular surgery and endovascular techniques impact aortic surgery.
- Clinical governance sets standards for adverse outcome rates in aortic surgery.
- Peripheral general surgeon experience in aortic surgery is reviewed.
Purpose of the Study:
- To identify local adverse outcome rates for aortic aneurysm repair.
- To relate outcomes to case data and clinical governance recommendations.
- To assess the feasibility of aortic aneurysm surgery in peripheral centers.
Main Methods:
- Retrospective audit of 100 aortic aneurysm repair cases (elective and emergency).
- Data collection included demographics and outcomes.
- Analysis identified factors related to mortality using chi-squared analysis.
Main Results:
- Postoperative mortality: 1.7% for elective, 21% for emergency cases.
- Mortality associated with aneurysm rupture, blood loss, and ASA score > 3.
- Outcomes compare favorably with larger vascular units.
Conclusions:
- Morbidity and mortality rates are within accepted clinical governance rates.
- Clinical governance rates may not account for case mix variation.
- Results support continuation of aortic aneurysm surgery in peripheral centers.