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Related Experiment Videos

Prognosis in elderly men with screening-detected abdominal aortic aneurysm

M Ogren1, H Bengtsson, D Bergqvist

  • 1Department of Community Health Sciences, Lund University, Malmö General Hospital, Sweden.

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|January 1, 1996
PubMed
Summary

Screening elderly men for abdominal aortic aneurysms (AAA) detected more cases but did not reduce overall mortality. Early detection and intervention for AAA showed questionable public health value in this study.

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Area of Science:

  • Vascular Surgery
  • Public Health
  • Gerontology

Background:

  • Abdominal aortic aneurysm (AAA) is a significant vascular condition in elderly populations.
  • Early detection through screening aims to reduce mortality and morbidity.

Purpose of the Study:

  • To investigate the natural progression of asymptomatic abdominal aortic aneurysms (AAA) identified through screening in elderly men.
  • To assess the impact of AAA screening on all-cause mortality over a five-year period.

Main Methods:

  • A prospective population study in Malmö, Sweden, invited 74-year-old men for AAA screening.
  • 343 men underwent ultrasound screening for AAA; outcomes were tracked for five years.

Main Results:

  • 11% of screened men had AAA. Men with AAA had double the mortality rate compared to those without (80.2 vs. 39.4 per 1000 person-years).

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  • AAA surgery was performed on six men, with no deaths from rupture, but surgery did not lower overall mortality.
  • Men who did not participate in screening had the highest mortality rate.

    • Conclusions:

    • Screening for early detection and intervention of AAA in elderly men may have questionable public health benefits.
    • Further research is needed to clarify the optimal strategy for managing screen-detected abdominal aortic aneurysms.