Outcomes of elective abdominal aortic aneurysm repair among the elderly: Endovascular versus open repair

Outcomes of elective abdominal aortic aneurysm repair among the elderly: Endovascular versus open repair
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DOI:
10.1016/j.surg.2010.10.022
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发表时间:
2012-02-01
期刊:
影响因子:
3.8
通讯作者:
Eskandari, Mark K.
Eskandari, Mark K.
中科院分区:
医学2区
文献类型:
--
作者:
Raval, Mehul V.;Eskandari, Mark K.

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需要在老年人群中进行择期腹主动脉瘤(AAA)修复术的国家结局。本研究旨在分析血管内(EVAR)和开放手术的结局。80岁以上老年人选择性腹主动脉瘤的手术修复(OSR)。2005年1月1日至2008年12月31日期间接受非急诊AAA修复术的患者采用美国外科医师学会国家外科质量改进计划(ACS NSQIP)进行识别。Logistic回归模型用于比较风险调整后的30天结局。在确定的7,936例患者中,2,034例(25.6%)年龄>= 80岁。与患者相比,老年患者更可能经历不良的30天结局
National outcomes for elective abdominal aortic aneurysm (AAA) repair in elderly populations are needed. The purpose of this study was to analyze outcomes of endovascular (EVAR) and open. surgical repair (OSR) of elective AAA among the elderly 80 years).Methods. Patients undergoing non emergent AAA repair between January 1, 2005 and December 31, 2008, were identified using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). Logistic regression models were used to compare risk-adjusted 30-day outcomes.Results. Of 7,936 patients identified, 2,034 (25.6%) were >= 80 years. Older patients were more likely to experience adverse 30-day outcomes as compared with patients