Search engine for discovering works of Art, research articles, and books related to Art and Culture
ShareThis
Javascript must be enabled to continue!

Short-term outcomes of open surgical abdominal aortic aneurysm repair from the Dutch Surgical Aneurysm Audit

View through CrossRef
Abstract Background The sharp decrease in open surgical repair (OSR) for abdominal aortic aneurysm (AAA) has raised concerns about contemporary postoperative outcomes. The study was designed to analyse the impact of complications on clinical outcomes within 30 days following OSR. Methods Patients who underwent OSR for intact AAA registered prospectively between 2016 and 2019 in the Dutch Surgical Aneurysm Audit were included. Complications and outcomes (death, secondary interventions, prolonged hospitalization) were evaluated. The adjusted relative risk (aRr) and 95 per cent confidence intervals were computed using Poisson regression. Subsequently, the population-attributable fraction (PAF) was calculated. The PAF reflects the expected percentage reduction of an outcome if a complication were to be completely prevented. Results A total of 1657 patients were analysed. Bowel ischaemia and renal complications had the largest impact on death (aRr 12·44 (95 per cent c.i. 7·95 to 19·84) at PAF 20 (95 per cent c.i. 8·4 to 31·5) per cent and aRr 5·07 (95 per cent c.i. 3·18 to 8.07) at PAF 14 (95 per cent c.i. 0·7 to 27·0) per cent, respectively). Arterial occlusion had the greatest impact on secondary interventions (aRr 11·28 (95 per cent c.i. 8·90 to 14·30) at PAF 21 (95 per cent c.i. 14·7 to 28·1) per cent), and pneumonia (aRr 2·52 (95 per cent c.i. 2·04 to 3·10) at PAF 13 (95 per cent c.i. 8·3 to 17·8) per cent) on prolonged hospitalization. Small effects were observed on outcomes for other complications. Conclusion The greatest clinical impact following OSR can be made by focusing on measures to reduce the occurrence of bowel ischaemia, arterial occlusion and pneumonia.
Oxford University Press (OUP)
A C M Geraedts A J Alberga M J W Koelemay H J M Verhagen A C Vahl R Balm P J van den Akker G P Akkersdijk W L Akkersdijk M G van Andringa de Kempenaer C H P Arts A M Avontuur O J Bakker R Balm W B Barendregt J A Bekken M H M Bender B L W Bendermacher M van den Berg R J Beuk J D Blankensteijn A S Bode M E Bodegom K E A van der Bogt A P M Boll M H Booster B L S Borger van der Burg G J de Borst W T G J Bos- van Rossum J Bosma J M J Botman L H Bouwman V Brehm M T de Bruijn J L de Bruin P Brummel J P van Brussel S E Buijk M G Buimer H C J L Buscher E Cancrinus P H Castenmiller G Cazander Ph W M Cuypers J H C Daemen I Dawson J E Dierikx M L Dijkstra J Diks M K Dinkelman M Dirven D E J G J Dolmans L M C van Dortmont J W Drouven M M van der Eb D Eefting G J W M van Eijck J W M Elshof B H P Elsman A van der Elst M I A van Engeland G S van Eps M J Faber W M de Fijter B Fioole W M Fritschy P H P Fung Kon Jin R H Geelkerken W B van Gent G J Glade B Govaert R P R Groenendijk H G W de Groot R F F van den Haak E F A de Haan G F Hajer J F Hamming E S van Hattum C E V B Hazenberg P Ph A Hedeman Joosten J N Helleman L G van der Hem J M Hendriks J A van Herwaarden J M M Heyligers J W Hinnen R J Hissink G H Ho P T den Hoed M T C Hoedt F van Hoek R Hoencamp W H Hoffmann A W J Hoksbergen E J F Hollander L C Huisman R G Hulsebos K M B Huntjens M M Idu M J H M Jacobs M F P van der Jagt J R H Jansbeken R J L Janssen H H L Jiang S C de Jong T A Jongbloed-Winkel V Jongkind M R Kapma B P J A Keller A Khodadade Jahrome J K Kievit P L Klemm P Klinkert Jr. N A Koedam M J W Koelemaij J L P Kolkert G G Koning O H J Koning R Konings A G Krasznai R H J Kropman R R Kruse L van der Laan M J van der Laan J H H van Laanen G W van Lammeren D A A Lamprou J H P Lardenoije G J Lauret B J M Leenders D A Legemate V J Leijdekkers M S Lemson M M A Lensvelt M A Lijkwan F Th P M van der Linden P F Liqui Lung M J A Loos M C Loubert K M van de Luijtgaarden D E A K Mahmoud C G Manshanden E C J L Mattens R Meerwaldt B M E Mees T P Menting R Metz J C A de Mol van Otterloo M J Molegraaf Y C A Montauban van Swijndregt M J M Morak R H W van de Mortel W Mulder S K Nagesser C C L M Naves J H Nederhoed A M Nevenzel A J de Nie D H Nieuwenhuis R C van Nieuwenhuizen J Nieuwenhuizen D Nio A P A Oomen B I Oranen J Oskam H W Palamba A G Peppelenbosch A S van Petersen B J Petri M E N Pierie A J Ploeg R A Pol E D Ponfoort P P C Poyck A Prent S ten Raa J T F J Raymakers B L Reichmann M M P J Reijnen J A M de Ridder A Rijbroek M J E van Rijn R A de Roo E V Rouwet B R Saleem M R H M van Sambeek M G Samyn H P van�t Sant J van Schaik P M van Schaik D M Scharn M R M Scheltinga A Schepers P M Schlejen F J V Schl�sser F P G Schol V P W Scholtes O Schouten M A Schreve G W H Schurink C J J M Sikkink A Te Slaa H J Smeets L Smeets R R Smeets A A E A de Smet P C Smit T M Smits M G J Snoeijs A O Sondakh M J Speijers T J van der Steenhoven S M M van Sterkenburg D A A Stigter R A Stokmans R P Strating G N M Stulti�ns J E M Sybrandy J A W Teijink B J Telgenkamp M J G Testroote T Tha-In R M The W J Thijsse I Thomassen I F J Tielliu R B M van Tongeren R J Toorop E Tournoij M Truijers K T�rkcan R P Tutein Nolthenius C �nl� R H D Vaes A C Vahl E J Veen H T C Veger M G Veldman H J M Verhagen B A N Verhoeven C F W Vermeulen E G J Vermeulen B P Vierhout R J van der Vijver-Coppen M J T Visser J A van der Vliet C J van Vlijmen-van Keulen J R van der Vorst A W F Vos C G Vos G A Vos B de Vos M T Vo�te B H R Vriens P W H E Vriens D K de Vries J P P M de Vries M de Vries A C de Vries C van der Waal E J Waasdorp B M Wallis de Vries L A van Walraven J L van Wanroi M C Warl� V van Weel A M E van Well G M J M Welten J J Wever A M Wiersema O R M Wikkeling W I M Willaert J Wille M C M Willems E M Willigendael E D Wilschut W Wisselink M E Witte C H A Wittens C Y Wong O Yazar K K Yeung C J A M Zeebregts M L P van Zeeland
BJS Open
2021
Title: Short-term outcomes of open surgical abdominal aortic aneurysm repair from the Dutch Surgical Aneurysm Audit
Description:
Abstract Background The sharp decrease in open surgical repair (OSR) for abdominal aortic aneurysm (AAA) has raised concerns about contemporary postoperative outcomes.
The study was designed to analyse the impact of complications on clinical outcomes within 30 days following OSR.
Methods Patients who underwent OSR for intact AAA registered prospectively between 2016 and 2019 in the Dutch Surgical Aneurysm Audit were included.
Complications and outcomes (death, secondary interventions, prolonged hospitalization) were evaluated.
The adjusted relative risk (aRr) and 95 per cent confidence intervals were computed using Poisson regression.
Subsequently, the population-attributable fraction (PAF) was calculated.
The PAF reflects the expected percentage reduction of an outcome if a complication were to be completely prevented.
Results A total of 1657 patients were analysed.
Bowel ischaemia and renal complications had the largest impact on death (aRr 12·44 (95 per cent c.
i.
7·95 to 19·84) at PAF 20 (95 per cent c.
i.
8·4 to 31·5) per cent and aRr 5·07 (95 per cent c.
i.
3·18 to 8.
07) at PAF 14 (95 per cent c.
i.
0·7 to 27·0) per cent, respectively).
Arterial occlusion had the greatest impact on secondary interventions (aRr 11·28 (95 per cent c.
i.
8·90 to 14·30) at PAF 21 (95 per cent c.
i.
14·7 to 28·1) per cent), and pneumonia (aRr 2·52 (95 per cent c.
i.
2·04 to 3·10) at PAF 13 (95 per cent c.
i.
8·3 to 17·8) per cent) on prolonged hospitalization.
Small effects were observed on outcomes for other complications.
Conclusion The greatest clinical impact following OSR can be made by focusing on measures to reduce the occurrence of bowel ischaemia, arterial occlusion and pneumonia.
Back

Related Results

Hydatid Disease of The Brain Parenchyma: A Systematic Review
Abstarct Introduction Isolated brain hydatid disease (BHD) is an extremely rare form of echinococcosis. A prompt and timely diagnosis is a crucial step in disease management. This ...
Blood pressure, hypertension, and the risk of aortic aneurysm in the UK Biobank
Abstract Background Although an association between elevated blood pressure and risk of aortic aneurysm is established, f...
Mortality After Elective and Ruptured Abdominal Aortic Aneurysm Surgical Repair: 12-Year Single-Center Experience of Estonia
Background and Aims: Abdominal aortic aneurysm is a degenerative vascular pathology with high mortality due to its rupture, which is why timely treatment is cru...
Hubungan Kualitas Audit, Komite Audit, dan Dewan Pengawas Syariah terhadap Kinerja Bank Umum Syariah di Indonesia
ABSTRAK Penelitian ini ditujukan untuk mengetahui hubungan kualitas audit, komite audit, dan Dewan Pengawas Syariah (DPS) terhadap kinerja Bank Umum Syariah di Indonesia pada tahun...
Paper K-9 Pelaporan Hasil Audit dan Tindak Lanjut Audit Internal
Pelaporan hasil audit merupakan komponen utama dalam komunikasi dari audit internal tentang hasil audit. Untuk mengkomunikasikan hasil audit diperlukan susunan laporan, dimana hasi...
Vascular Smooth Muscle Cells in Aortic Aneurysm: From Genetics to Mechanisms
Aortic aneurysm, including thoracic aortic aneurysm and abdominal aortic aneurysm, is the second most prevalent aortic disease following atherosclerosis, representing the ninth‐lea...
Pengaruh Audit Tenure dan Audit Delay terhadap Kualitas Audit
Abstract. The mining industry contributes significantly to the Indonesian economy, but its complexity requires audit quality to ensure transparency of financial statements. Audit t...
Outcomes Of Patients With Abdominal Aortic Aneurysms: A Retrospective Analysis Of Ct Imaging And Surgical Interventions
Background: Abdominal aortic aneurysms are a severe vascular disease that is mainly asymptomatic until rupture occurs. CT imaging is therefore very important in evaluating Abdomina...
Our website uses cookies to offer you the best possible browsing experience. Read more