Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Ruptured abdominal aortic aneurysm: a community experience

P M Burke1, N A Sannella

  • 1Department of Surgery, Lowell General Hospital, Massachusetts.

Cardiovascular Surgery (London, England)
|June 1, 1993
PubMed
Summary

Improved surgical care by vascular specialists significantly increased survival rates for ruptured abdominal aortic aneurysms (AAA) in community hospitals. This evolution in treatment highlights better outcomes with specialized surgical expertise.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Reduced peripheral activity leading to hepato-preferential action of basal insulin peglispro compared with insulin glargine in patients with type 1 diabetes.

Diabetes, obesity & metabolism·2016
Same author

Regulation of receptor tyrosine kinase signaling by endocytic trafficking.

Traffic (Copenhagen, Denmark)·2001
Same author

Human mammary epithelial cells rapidly exchange empty EGFR between surface and intracellular pools.

Journal of cellular physiology·1999
Same author

Removal of the membrane-anchoring domain of epidermal growth factor leads to intracrine signaling and disruption of mammary epithelial cell organization.

The Journal of cell biology·1998
Same author

Structure of a protein photocycle intermediate by millisecond time-resolved crystallography.

Science (New York, N.Y.)·1997
Same author

Endocytosis and lysosomal targeting of epidermal growth factor receptors are mediated by distinct sequences independent of the tyrosine kinase domain.

The Journal of biological chemistry·1995

Area of Science:

  • Vascular Surgery
  • Surgical Outcomes
  • Public Health

Background:

  • Ruptured abdominal aortic aneurysm (AAA) presents a significant challenge in community hospital settings.
  • Historical data suggests variability in patient outcomes based on surgical specialization.

Purpose of the Study:

  • To evaluate the impact of surgical specialization on survival rates for ruptured AAA in a community setting.
  • To analyze trends in diagnosis and patient demographics over a 12-year period.

Main Methods:

  • Retrospective review of 117 ruptured AAA cases across five community hospitals over 12 years.
  • Comparison of survival rates between general surgeons and vascular surgeons.
  • Analysis of preoperative risk factors, diagnostic methods (computed tomography), and patient demographics.

Main Results:

  • Survival rates improved from 35% (general surgeons) to 61% (vascular surgeons) in the latter 6 years of the study.
  • Vascular surgeon intervention was associated with significantly greater patient survival (P < 0.05).
  • Increased use of computed tomography and a shift towards older patients with longer hospital stays were observed.

Conclusions:

  • Specialization in vascular surgery has led to improved outcomes for ruptured AAA in community hospitals.
  • The evolving patient population and diagnostic approaches necessitate continuous adaptation of care strategies.
  • There is a notable survival potential even for patients not undergoing elective resection.

Related Experiment Videos