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Abdominal aortic aneurysm: the case for elective resection.

A R Pasch, J J Ricotta, A G May

    Circulation
    |September 1, 1984
    PubMed
    Summary
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    Early detection and elective surgery for abdominal aortic aneurysms significantly reduce mortality and healthcare costs. Prompt surgical referral for ruptured aneurysms is crucial to improve patient outcomes.

    Area of Science:

    • Vascular Surgery
    • Health Economics

    Background:

    • Abdominal aortic aneurysms (AAA) are a significant concern for vascular surgeons.
    • Mortality for elective AAA resection has decreased over time, but remains high for ruptured cases.
    • The incidence of ruptured AAAs has remained stable.

    Purpose of the Study:

    • To analyze mortality and hospital costs associated with elective and ruptured AAA resections.
    • To estimate the national impact of improved AAA detection and elective treatment.

    Main Methods:

    • Retrospective review of 898 AAA resections (1955-1982) at the University of Rochester.
    • Calculation of hospital costs for AAA treatment in 1980-1981.
    • Extrapolation of cost and mortality data to a national level using 1979 US hospital discharge data.

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    Main Results:

    • Mortality for elective AAA resection decreased sequentially from 13% to 5.6%.
    • Mortality for ruptured AAA resection remained high at 70%.
    • Mean hospital costs were $10,114 for elective vs. $18,223 for ruptured AAA repair.

    Conclusions:

    • Increased physician awareness and prompt surgical referral for AAAs can significantly reduce mortality.
    • Elective resection of AAAs offers substantial cost savings and life-year preservation.
    • The incidence of ruptured AAAs is unacceptably high, highlighting the need for improved early detection strategies.