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Abdominal aortic aneurysm in Scotland

A K Samy1, B Whyte, G MacBain

  • 1Department of Surgery, University of Aberdeen, Aberdeen Royal Infirmary, UK.

The British Journal of Surgery
|August 1, 1994
PubMed
Summary

Abdominal aortic aneurysm (AAA) cases in Scotland increased steadily from 1980-1991. Data accuracy was high, with rupture in 36.4% of cases, predominantly in men.

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Area of Science:

  • Vascular Surgery
  • Epidemiology
  • Public Health

Background:

  • Abdominal aortic aneurysm (AAA) is a significant vascular condition.
  • Accurate epidemiological data is crucial for understanding disease trends and outcomes.

Purpose of the Study:

  • To analyze the incidence, demographics, and outcomes of abdominal aortic aneurysm (AAA) in Scotland.
  • To assess the accuracy of the Scottish Morbidity Record (SMR) 1 for AAA data.

Main Methods:

  • Retrospective analysis of 5338 abdominal aortic aneurysm (AAA) cases recorded in the Scottish Morbidity Record (SMR) 1 from 1980 to 1991.
  • Validation of SMR 1 data accuracy by comparing it with 500 randomly selected case records (97.8% accuracy).

Main Results:

  • A consistent yearly increase in AAA cases from 283 (1980) to 612 (1991) was observed.
  • The male to female ratio was 2.5:1, with a mean age of 73.1 years, increasing in older age groups.
  • Rupture occurred in 36.4% of cases, primarily in men. Hospital mortality was 10.5% for intact AAA and 54.7% for ruptured AAA.

Conclusions:

  • The incidence of abdominal aortic aneurysm (AAA) in Scotland significantly increased between 1980 and 1991.
  • The study confirms high accuracy of the Scottish Morbidity Record (SMR) 1 for epidemiological surveillance of AAA.
  • Rising incidence and high mortality rates, especially for ruptured AAA, highlight the need for continued monitoring and intervention strategies.

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