Publication detail

Open repair of Abdominal Aortic Aneurysm in the elderly: Is it worthwhile? ( Article in press )

HILLOVÁ MANNOVÁ, J. ŠILHART, Z. MACH, J. ŠEVČÍK, P. PROKEŠ, A.

Original Title

Open repair of Abdominal Aortic Aneurysm in the elderly: Is it worthwhile? ( Article in press )

Type

journal article - other

Language

English

Original Abstract

Given the steady increase in life expectancy, an analysis of surgical outcomes in the aging population is of significant interest to vascular surgeons. The aim of our study was to assess the outcomes of abdominal aortic aneurysm repair in the elderly aged 75 plus and compare their results with people operated on at a younger age. Methods: 171 patients who underwent open AAA repair in one centre in 1999-2008 were analyzed. The perioperative and postoperative complications, 30-day mortality, the length of ICU and hospital stay were compared, and the Kruskal-Wallis and the Chi-square tests were used for statistical analysis. Results: There were no statistically significant differences in gender and patients' preoperative comorbidities except for ICHS and CHRI which were more frequent in the elderly 75 plus. The frequency of serious perioperative haemodynamic complications and postoperative (cardiac, respiratory, cerebral, bleeding, sepsis, surgical) complications, mortality rate and the length of hospital stay did not significantly differ in the elderly 75 plus. A statistically significant difference was found only in the frequency of postoperative renal damage and the length of ICU stay. The elderly 75 plus without enhanced haemodynamic monitoring had significantly longer ICU stay (5 days vs. 7 days p<0.001) and developed renal damage significantly frequently (p=0.002). Conclusion: We confirmed acceptable outcomes of patients aged 75 plus who underwent open AAA repair compared with younger population. Elective surgery for AAA can be safely performed in the elderly patients, however, other possibilities of treatment should also be considered.

Keywords

AAA repair; Complications; ICU and hospital stay; Mortality; The elderly

Authors

HILLOVÁ MANNOVÁ, J.; ŠILHART, Z.; MACH, J.; ŠEVČÍK, P.; PROKEŠ, A.

RIV year

2013

Released

16. 12. 2013

Publisher

Elsevier Urban and Partner sp. z o.o

Location

Wroclaw, Poland

ISBN

0010-8650

Periodical

Cor at Vasa

Year of study

114

Number

5

State

Czech Republic

Pages from

1

Pages to

5

Pages count

5

BibTex

@article{BUT102792,
  author="HILLOVÁ MANNOVÁ, J. and ŠILHART, Z. and MACH, J. and ŠEVČÍK, P. and PROKEŠ, A.",
  title="Open repair of Abdominal Aortic Aneurysm in the elderly: Is it worthwhile? ( Article in press )",
  journal="Cor at Vasa",
  year="2013",
  volume="114",
  number="5",
  pages="1--5",
  issn="0010-8650"
}