一项针对65岁男性腹腔大动脉动脉瘤 (AAA) 的查项目的11年结果
Saira Mauland Mansoor1,2, Toril Rabben1, Jonny Hisdal1,2
1Department of Vascular Surgery, Oslo University Hospital, Oslo, Norway.
Vascular health and risk management
|July 24, 2023
概括
奥斯陆奥斯陆奥斯陆奥斯陆奥斯陆奥斯陆奥斯陆
科学领域:
- 血管外科 血管外科
- 公共卫生查 公共卫生查
- 流行病学 流行病学
背景情况:
- 自2011年以来,奥斯陆大学医院一直在对65岁的男性进行腹腔大动脉动脉瘤 (AAA) 的查.
- 查计划旨在降低AAA相关的死亡率和破裂率.
研究的目的:
- 评估奥斯陆AAA查计划的有效性.
- 评估AAA相关的死亡率,破裂和检查男性的修复率.
主要方法:
- 一项对2048名参加AAA查的男性队列研究 (2011年5月至2019年9月).
- 纳入标准:查检测的AAA (≥30毫米),亚动脉瘤扩张 (25-29毫米),和随机选择与正常的大动脉 (<25毫米).
- 从医院记录和国家登记处回顾收集关于AAA事件和死亡的数据.
主要成果:
- 在接受查的男性中观察到低AAA相关的死亡率 (0.6%) 和破裂率 (0.3%).
- 发病率:每1000人年有0.9例死亡和0.5例破裂.
- 选择性修复率为20.6%的屏幕检测AAA和0.6%的亚神经系统扩张.
结论:
- 在奥斯陆的AAA查与非常低的破裂和AAA相关的死亡率有关.
- 查识别需要选择性修复的个体,潜在地防止破裂.
- 该研究支持AAA查在预防死亡率和破裂方面的价值.
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