Glasgow aneurysm scores in patients undergoing open surgical procedure for aortic aneurysm. (June 2015)

• Record Type: Journal Article
• Authors: Ozen, Anil; Unal, Ertekin Utku; Kubat, Emre; Turkcan, Basak Soran; Caliskan, Aytac; Aytekin, Bahadir; Aksoyek, Aysen; Birincioglu, Cemal Levent; Pac, Mustafa
• Is Part Of: Vascular. Volume 23:Number 3(2015:Jun.)
• Page Start: 277
• Page End: 280
• Publication Date: 2015-06
• Subjects: Abdominal aortic aneurysm -- aneurysm repair -- risk assessment -- mortality; 616.13
• DOI: 10.1177/1708538114548263
• Languages: English
• ISSNs: 1708-5381

Abstract

Background: To assess the applicability of the Glasgow aneurysm score (GAS) in patients with aortic aneurysm undergoing an elective open surgical procedure in our hospital. Materials and methods: A total of 105 patients undergoing elective open surgical procedure between January 2006 and June 2012 were evaluated retrospectively. Glasgow aneurysm score (GAS) was calculated as age+7 points for myocardial disease, +10 points for cerebrovascular disease, and +14 points for renal disease. The best cut-off value for GAS was determined using the ROC curve analysis. Results: The hospital mortality rate was 3.8% (4 patients). GAS was significantly lower in patients who survived the operation (76.05 ± 14.71 vs. 92.0 ± 10.8 respectively, p = 0.031). The ICU stay was also significantly lower in patients who survived the operation (2.37 ± 5.23) compared to the nonsurvivors (25.67 ± 13.80, p = 0.001). No significant difference was observed regarding age, duration of hospital stay, and aortic diameter. The area under the ROC curve was 0.818 and for a 100% sensitivity rate, the cut-off value for GAS was 77.5 with a 58.4% specificity rate ( p = 0.031). All patients with a GAS < 77.5 were alive after surgery. Conclusion: The GAS appears to be a reliable clinical predictor for in hospital mortality following elective repair of abdominal aortic aneurysm following open surgical procedure.