查詢結果分析
來源資料
頁籤選單縮合
| 題 名 | Predictors of Outcome after Open Repair of Ruptured Abdominal Aortic Aneurysms=腹腔主動脈瘤破裂之開腹手術處理後之相關危險因子 |
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| 作 者 | 李浩睿; 高宗祺; 劉大偉; 游勝越; 柯博仁; 謝宏昌; | 書刊名 | 長庚醫誌 |
| 卷 期 | 34:5 2011.09-10[民100.09-10] |
| 頁 次 | 頁520-527 |
| 分類號 | 416.263 |
| 關鍵詞 | 破裂腹主動脈瘤; Ruptured abdominal aortic aneurysm; RAAA; |
| 語 文 | 英文(English) |
| 英文摘要 | Background: To determine predictors associated with early hospital death, 30-day mortality, and long-term survival after open surgical treatment of ruptured abdominal aortic aneurysms (RAAAs). Methods: A retrospective chart review of 127 consecutive patients who received open surgical treatment of a RAAA at Chang Gung Memorial Hospital, Taiwan, from February 1994 to May 2007. Data recorded included patient characteristics, medical history, perioperative variables, and outcomes. Results: There were 104 men and 23 women with a mean age of 70 ± 12 years in the analysis. Patients with RAAAs were classified into two groups; 100 (78.7%) patients were classified as group I (hemodynamically stable), and 27 (21.3%) patients were classified as group II (hemodynamically unstable at arrival). The 30-day mortality was 22% for group I and 74.1% for group II. Multivariate analysis identified age > 75 years old (odds ratio [OR], 0.083; 95% confidence interval [CI] 0.02-0.36), hemodynamically unstable state (OR, 0.081; 95% CI 0.016-0.4), blood transfusion > 5 L (OR, 0.14; 95% CI 0.038-0.54), intraperitoneal rupture (OR, 7.2; 95% CI 1.4-36), urine output < 0.5 mL/kg/min (OR, 22; 95% CI 4.6-110), and suprarenal cross-clamping (OR, 0.083; 95% CI 0.019-0.36) as incremental risk factors for 30-day mortality. Conclusion: Significant predictors of mortality in patients with RAAAs include hemodynamically unstable state, age > 75 years old, intraperitoneal rupture, low intraoperative urine output, and suprarenal cross-clamping. |
本系統中英文摘要資訊取自各篇刊載內容。