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Abdominal aortic aneurysm.

P R Thomas1, R D Stewart

  • 1Whipps Cross Hospital, Leytonstone, London, UK.

The British Journal of Surgery
|August 1, 1988
PubMed
Summary
This summary is machine-generated.

The incidence of abdominal aortic aneurysm rupture is increasing, especially in women, with high mortality rates. Early diagnosis and elective surgery are crucial for improving patient survival.

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Area of Science:

  • Vascular Surgery
  • Epidemiology
  • Public Health

Background:

  • Abdominal aortic aneurysm (AAA) rupture poses a significant health risk.
  • Community-based studies on AAA rupture incidence and outcomes are limited.
  • Understanding trends in AAA rupture is vital for public health strategies.

Purpose of the Study:

  • To analyze the incidence, outcomes, and mortality of abdominal aortic aneurysm (AAA) rupture in Waltham Forest.
  • To identify trends in AAA rupture, particularly in relation to gender and diagnostic delays.
  • To evaluate the effectiveness of current management strategies and suggest improvements.

Main Methods:

  • Retrospective analysis of 282 diagnosed cases of abdominal aortic aneurysm (AAA) between 1981 and 1986.
  • Data collection on rupture incidence, surgical interventions, and mortality rates.

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  • Comparison of outcomes between genders and assessment of diagnostic timeliness.

    • Main Results:

    • AAA rupture incidence increased from 13 to 21 per 100,000 population.
    • Overall mortality for ruptured AAA was 81.4%, with 54.7% operative mortality.
    • Women experienced significantly higher mortality from rupture than men.
    • One-third of rupture cases were undiagnosed upon admission; 35% of deaths occurred in the community.

    Conclusions:

    • The incidence of abdominal aortic aneurysm (AAA) rupture appears to be increasing nationally, with a concerning rise in mortality among women.
    • Delayed diagnosis and lack of timely intervention contribute to high mortality rates.
    • Improved clinical awareness and early elective surgery are recommended to improve survival rates for AAA rupture.