skip to main content
Idioma:
Primo Search
Clear Search Box
Search in: Busca Geral
Busca Avançada
Busca por Índices

Comparison of long-term mortality after ruptured abdominal aortic aneurysm in England and Sweden

Karthikesalingam, A. ; Wanhainen, A. ; Holt, P. J. ; Vidal-Diez, A. ; Brownrigg, J. R. W. ; Shpitser, I. ; Björck, M. ; Thompson, M. M. ; Mani, K.

British journal of surgery, 2016-02, Vol.103 (3), p.199-206 [Periódico revisado por pares]

Chichester, UK: John Wiley & Sons, Ltd

Texto completo disponível

Citações Citado por
  • Título:
    Comparison of long-term mortality after ruptured abdominal aortic aneurysm in England and Sweden
  • Autor: Karthikesalingam, A. ; Wanhainen, A. ; Holt, P. J. ; Vidal-Diez, A. ; Brownrigg, J. R. W. ; Shpitser, I. ; Björck, M. ; Thompson, M. M. ; Mani, K.
  • Assuntos: Aged ; Aged, 80 and over ; Aortic Aneurysm, Abdominal - mortality ; Aortic Aneurysm, Abdominal - surgery ; Aortic Rupture - mortality ; Aortic Rupture - surgery ; Endovascular Procedures - methods ; England - epidemiology ; Female ; Follow-Up Studies ; Hospital Mortality - trends ; Humans ; Male ; Prognosis ; Retrospective Studies ; Sweden - epidemiology ; Time Factors
  • É parte de: British journal of surgery, 2016-02, Vol.103 (3), p.199-206
  • Notas: istex:F2410BCD971CBBB12FA8FD5F048B4BA849D98581
    ark:/67375/WNG-XWPDZ293-1
    ArticleID:BJS10049
    Fig. S1 Kaplan-Meier plot of 5-year survival following ruptured abdominal aortic aneurysm repair in England and Sweden with censoring for patients who died within 90 days (Word document) Table S1 Coding lists used to define ruptured abdominal aortic aneurysm in Hospital Episode Statistics data sets (Word document) Table S2 Characteristics of patients undergoing ruptured abdominal aortic aneurysm repair in England and Sweden (Word document) Table S3 Ninety-day mortality over time, 2003-2012 (Word document) Table S4 Outcomes on weekends versus weekdays in England and Sweden (Word document) Table S5 Outcomes in teaching versus non-teaching hospitals in England and Sweden (Word document) Table S6 Logistic regression analysis of within-country models for 90-day mortality in England and Sweden, after adjustment for co-morbidity (Word document) Table S7 Mediation analysis, illustrating the proportion of the effect of co-variables on mortality mediated by type of surgery performed (open or endovascular) (Word document) Table S8 Characteristics of patients undergoing ruptured abdominal aortic aneurysm repair on weekdays versus the weekend in England and Sweden (Word document)
    ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Background Concern has been raised regarding international discrepancies in perioperative mortality after repair of ruptured abdominal aortic aneurysm (rAAA). The variation in in‐hospital mortality is difficult to interpret, owing to international differences in discharge strategies. This study compared 90‐day and 5‐year mortality in patients who had a rAAA in England and Sweden. Methods Patients undergoing rAAA repair were identified from English Hospital Episode Statistics and the Swedish Vascular Registry (Swedvasc) between 2003 and 2012. Ninety‐day and 5‐year mortality were compared after matching for age and sex. Within‐country analyses examined the impact of co‐morbidity, teaching hospital status or hospital annual caseload, adjusted with causal inference techniques. Results Some 12 467 patients underwent rAAA repair in England, of whom 83·2 per cent were men; the median (i.q.r.) age was 75 (70–80) years. A total of 2829 Swedish patients underwent rAAA repair, of whom 81·3 per cent were men; their median (i.q.r.) age was 75 (69–80) years. The 90‐day mortality rate was worse in England (44·0 per cent versus 33·4 per cent in Sweden; P < 0·001), as was 5‐year mortality (freedom from mortality 38·6 versus 46·3 per cent respectively; P < 0·001). In England, lower mortality was seen in teaching hospitals with larger bed capacity, higher annual caseloads and greater use of endovascular aneurysm repair (EVAR). In Sweden, lower mortality was associated with EVAR, high annual caseload, or surgery on weekdays compared with weekends. Conclusion Short‐ and long‐term mortality after rAAA repair was higher in England. In both countries, mortality was lowest in centres performing greater numbers of AAA repairs per annum, and more EVAR procedures. English results worse
  • Editor: Chichester, UK: John Wiley & Sons, Ltd
  • Idioma: Inglês
Links
Voltar para lista de resultados

  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

Buscando em bases de dados remotas. Favor aguardar.