Fate of Patients Unwilling or Unsuitable to Undergo Surgical Intervention for a Ruptured Abdominal Aortic Aneurysm. Issue 2 (February 2015)

• Record Type: Journal Article
• Authors: van Beek, S.C.; Vahl, A.C.; Wisselink, W.; Balm, R.
• Is Part Of: European journal of vascular and endovascular surgery. Volume 49:Issue 2(2015:Feb.)
• Page Start: 163
• Page End: 165
• Publication Date: 2015-02
• Subjects: Aneurysm -- Ruptured -- Aortic aneurysm -- Abdominal -- Nonoperative therapy -- Ruptured abdominal aortic aneurysm -- Vascular surgical procedures -- Withholding treatment; Blood-vessels -- Endoscopic surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Vascular Surgical Procedures -- methods -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; Blood-vessels -- Endoscopic surgery; Blood-vessels -- Surgery; Endoscopy; Electronic journals; Periodicals; Electronic journals; 617.413005
• DOI: 10.1016/j.ejvs.2014.10.007
• Languages: English
• ISSNs: 1078-5884

Abstract

Abstract : Introduction: The primary objective of this study was to assess the duration of in-hospital survival in 57 patients with ruptured abdominal aortic aneurysms (RAAA) who did not undergo surgical intervention. Report: Two hours after registration in the emergency room, 58% (95% CI 45–71) of patients were still alive. The median survival was 2.2 hours (interquartile range 1–18). In a subgroup including 26 haemodynamically stable patients, survival after 2 hours was 96% (95% CI 89–100). Conclusion: In patients with an RAAA without surgical intervention, the duration of in-hospital survival is limited. However, a group of haemodynamically stable patients can be identified in whom survival is much longer.