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Related Experiment Videos

A screening program to identify risk factors for abdominal aortic aneurysms.

Marge B Lovell1, Kenneth A Harris, Guy Derose

  • 1Division of Vascular Surgery, University of Western Ontario, London, ON. marg.lovell@lhsc.on.ca

Canadian Journal of Surgery. Journal Canadien De Chirurgie
|April 25, 2006
PubMed
Summary

A nurse-led screening program effectively identified abdominal aortic aneurysms (AAAs) in high-risk men. Carotid artery disease was a key predictor, supporting targeted ultrasonographic screening for AAA.

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Area of Science:

  • Vascular Surgery
  • Preventive Cardiology
  • Health Services Research

Background:

  • Abdominal aortic aneurysm (AAA) poses a significant health risk.
  • Identifying high-risk populations for AAA screening is crucial.
  • Nurse-supervised programs may enhance screening feasibility.

Purpose of the Study:

  • To assess the feasibility of a nurse-supervised AAA screening program.
  • To identify independent risk factors for AAA formation in high-risk patients.

Main Methods:

  • Prospective observational study of 90 male patients.
  • Utilized abdominal ultrasonography for AAA detection.
  • Evaluated for independent risk factors associated with AAA presence.

Main Results:

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  • Abdominal aortic aneurysms (AAAs) were detected in 20% of patients.
  • Carotid artery disease was the sole significant independent predictor of AAA (OR 2.23).
  • Mean AAA diameter was 3.6 cm in identified cases.

Conclusions:

  • Nurse-supervised AAA screening is feasible and effective.
  • Ultrasonographic screening is recommended for patients with carotid artery disease.
  • This approach aids in early AAA detection and management.