In-hospital mortality from abdominal aortic surgery in Great Britain and Ireland: Vascular Anaesthesia Society audit
In-hospital mortality from abdominal aortic surgery in Great Britain and Ireland: Vascular Anaesthesia Society audit
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DOI：
10.1046/j.0007-1323.2001.01778.x
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发表时间：
2001-05-01
影响因子：
9.6
通讯作者：
Thomas, DG
中科院分区：
文献类型：
--
作者：
Bayly, PJM;Matthews, JNS;Thomas, DG
背景：人们普遍认为，与选择性主动脉瘤修复相关的死亡率在5%左右。这一数字没有考虑到先前存在的风险因素的影响。大不列颠和爱尔兰血管麻醉学会进行了一次大规模审计，以估计整个不列颠群岛与非紧急肾下主动脉手术有关的住院死亡率，并确定风险因素对死亡率的影响。方法：这是一项对英国和爱尔兰177家医院的多中心前瞻性审计。通过问卷调查收集数据，包括所有因肾下腹主动脉瘤或主动脉髂闭塞性疾病接受选择性或紧急手术超过4个月的患者。结果：共纳入933例患者。总死亡率为7.3%。使死亡风险增加多达5倍的因素包括年龄超过74岁、紧急手术、闭塞性疾病手术、运动能力有限、严重心绞痛或心力衰竭史、心室异位的存在以及心电图显示的缺血性心脏病异常。结论：虽然住院死亡率与以前公布的数字相似，但当常见的危险因素存在时，住院死亡率大幅增加。
Background: The mortality rate associated with elective aortic aneurysm repair is widely assumed to be in the region of 5 per cent. This figure does not take into consideration the effect of pre-existing risk factors. The Vascular Anaesthesia Society of Great Britain and Ireland conducted a large audit to estimate the in-hospital mortality rate associated with non-emergency infrarenal aortic surgery throughout the British Isles, and to determine the influence of risk factors on mortality rate.Methods: This was a multicentre, prospective audit of 177 hospitals throughout the UK and Ireland. Data were collected by questionnaire to include ail patients undergoing elective or urgent surgery for infrarenal abdominal aortic aneurysm or aortoiliac occlusive disease over 4 months.Results: Nine hundred and thirty-three patients were recruited into the audit. The overall mortality rate was 7.3 per cent. Factors increasing the risk of death by up to fivefold included age over 74 years, urgent surgery, operation for occlusive disease, limited exercise capacity, a history of severe angina or cardiac failure, the presence of ventricular ectopics and abnormalities suggesting ischaemic heart disease on electrocardiography.Conclusion: Although the in-hospital mortality rate was similar to previously published figures, the rate increased considerably when commonly encountered risk factors were present.