Factors determining survival after ruptured aortic aneurysm: The hospital, the surgeon, and the patient ☆

摘要: The 10-year experience of a single community was reviewed and multivariate analysis performed to determine the relative importance clinical environmental factors in mortality after ruptured abdominal aortic aneurysm resection. Ruptured aneurysms were repaired 243 patients six area hospitals (one university, five community) by 25 surgeons (16 vascular, 9 general). Overall, 30-day 55% (133/243). Although hospital ranged from 44% 68%, these differences not statistically significant. However, significant variations occurred rates individual surgeons, ranging 73%. rate for vascular less than that general 51% versus 69% (p 0.05). Clinical evaluated, most parameters systolic blood pressure, presence chronic obstructive lung disease, history renal insufficiency. These results support implication degree specialization surgeon preexisting health patient are important determinants survival aneurysm. size sophistication appear be influential factors.