Open AccessLong‐Term Outcomes After Open Repair for Ruptured Abdominal Aortic Aneurysm
Author(s) -
Reite Andreas,
Søreide Kjetil,
Kvaløy Jan Terje,
Vetrhus Morten
Publication year - 2020
Publication title -
world journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.115
H-Index - 148
eISSN - 1432-2323
pISSN - 0364-2313
DOI - 10.1007/s00268-020-05457-7
Subject(s) - medicine , relative survival , perioperative , population , surgery , abdominal surgery , abdominal aortic aneurysm , vascular surgery , confidence interval , survival analysis , cardiac surgery , aneurysm , survival rate , cancer registry , environmental health
Background Early mortality in ruptured abdominal aneurysm (rAAA) is high, but data on long‐term outcome are scarce. The aim of this study was to investigate the long‐term outcome in survivors after open surgery for rAAA in well‐defined population. Methods This is a population‐based, observational long‐term follow‐up (beyond 30‐day mortality) study of patients surgically treated for rAAA from 2000 through 2014. Long‐term survival was analysed using Kaplan–Meier estimates and compared to the general population by analyses of relative survival. Results Out of 178 patients operated for rAAA, 95 patients (55%) either died in the perioperative period, were referred from other hospitals or were lost to follow‐up (two patients). Altogether 83 patients were eligible for long‐term outcomes: 72 men and 11 women. Estimated median crude survival time was 6.5 years [95% confidence interval (CI) 4.8–8.2]. Men had a median survival of 7.3 years (95% CI 5.1–9.4) versus 5.4 years in females (95% CI 3.5–7.3) ( P = 0.082). Reinterventions during follow‐up occurred in 31 (37%). Relative survival demonstrated a slightly higher risk of death in the rAAA population compared to the general age‐ and gender‐matched population. Age, but not comorbidities, had a significant influence on long‐term survival. Conclusion For survivors beyond 30 days after surgery for rAAA, long‐term survival compares well to that of an age‐ and sex‐matched population. A high frequency of cardiovascular comorbidities did not seem to affect long‐term survival.