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Related Experiment Video

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Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
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[Abdominal aneurism screening in Primary Care].

J Alvarez1, A Prada1, C Bermúdez2

  • 1Medicina de Familia, Centro de Salud Palacio de Segovia, Madrid, España.

Semergen
|April 28, 2016
PubMed
Summary

This study found 2.6% of men aged 65-74 had abdominal aortic aneurysms (AAA), with all cases linked to active smoking and other risk factors. The prevalence was lower than anticipated but higher than studies excluding smokers.

Keywords:
Abdominal aortic aneurismAneurisma de aorta abdominalDespistaje de aneurisma de aorta abdominalPrevalence of risk factors for Abdominal aortic aneurismPrevalencia de aneurisma de aorta abdominalScreening for Abdominal aortic aneurism

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Area of Science:

  • Vascular Surgery
  • Preventive Cardiology
  • Diagnostic Imaging

Background:

  • Abdominal aortic aneurysm (AAA) screening in men aged 65-74 is crucial for early detection.
  • Risk factor assessment, including smoking and hypertension, is vital for understanding AAA prevalence.
  • Ultrasound is a primary non-invasive tool for AAA screening.

Purpose of the Study:

  • To determine the prevalence of abdominal aortic aneurysms (AAA) in men aged 65-74 years using ultrasound.
  • To describe the distribution of risk factors within the screened population and among those with AAA.
  • To ascertain the hospital confirmation rate of diagnosed AAAs.

Main Methods:

  • A cross-sectional study involving 115 men aged 65-74 years, recruited via telephone.
  • Clinical interviews and abdominal ultrasound examinations were conducted.
  • Data collection occurred between September 2014 and February 2015.

Main Results:

  • An infra-renal AAA was detected in 2.6% of the sample (95% CI 0.54-7.4).
  • Arterial hypertension was present in 51.3% and smoking/ex-smoking in 76.1% of participants.
  • All three confirmed AAA cases involved active smokers with at least one additional risk factor.

Conclusions:

  • The observed infra-renal AAA prevalence was lower than expected but exceeded rates in studies not accounting for smoking.
  • Smoking appears to be a significant risk factor in this age group.
  • Early screening and risk factor management are essential for AAA prevention.