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Outcome and Survival of Patients Aged 65 Years and Younger after Abdominal Aortic Aneurysm Rupture

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Abstract

Advanced age (> 80 years) confers a survival disadvantage after operative repair of a ruptured abdominal aortic aneurysm (AAA). This study aimed to determine if young age (≤65 years) confers a survival benefit. Consecutive patients undergoing attempted repair of a ruptured AAA between 1995 and 2001 were included in the study. Demographic, clinical, and operative factors were analyzed together with in-hospital mortality, duration of postoperative hospital stay, and long-term survival. Of 378 patients admitted with a ruptured AAA, 52 (14%) were ≤ 65 years of age and 326 (86%) were > 65 years. There were 4 (8%) women in the younger cohort compared to 74 (23%) women in the older group (p = 0.015). Four (8%) patients in the younger group were thought to be unsuitable for surgical repair compared to 77 (24%) patients in the older cohort (p = 0.009). Of the 48 younger patients who underwent attempted operative repair, 22 (46%) died in hospital, compared to 108 (43%) of 249 patients > 65 years (p = 0.753). The median (range) postoperative hospital stay of survivors was 11 days (6–59 days) in the younger cohort and 15 days (6–121 days) in the older group (p = 0.005). Patients ≤ 65 years of age undergoing operative repair of ruptured AAA have no survival advantage over older patients. These data support AAA screening for the “at risk” and age-defined population.

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Authors and Affiliations

  1. Edinburgh Vascular Surgical Service, Clinical and Surgical Sciences (Surgery), Royal Infirmary of Edinburgh, 51 Little France Crescent, EH16 4SA, 4SA, UK

    Andrew L. Tambyraja B.M., B.S., John A. Murie M.D. & Roderick T.A. Chalmers M.D.

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  1. Andrew L. Tambyraja B.M., B.S.
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  2. John A. Murie M.D.
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  3. Roderick T.A. Chalmers M.D.
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Correspondence to Andrew L. Tambyraja B.M., B.S..

Additional information

This work was presented to the 53rd International Congress of the European Society for Cardiovascular Surgery, Ljubljana, 2004 and published in abstract form in Interactive Cardiovascular and Thoracic Surgery 2004;3(S1):81.

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Tambyraja, A.L., Murie, J.A. & Chalmers, R.T. Outcome and Survival of Patients Aged 65 Years and Younger after Abdominal Aortic Aneurysm Rupture. World J. Surg. 29, 1245–1247 (2005). https://doi.org/10.1007/s00268-005-7799-8

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  • DOI: https://doi.org/10.1007/s00268-005-7799-8

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