Functional outcome after open repair of ruptured abdominal aortic aneurysm

被引:14
作者
Tambyraja, AL [1 ]
Fraser, SCA [1 ]
Murie, JA [1 ]
Chalmers, RTA [1 ]
机构
[1] Univ Edinburgh, Edinburgh Vasc Surg Sci, Edinburgh, Midlothian, Scotland
关键词
D O I
10.1016/j.jvs.2005.01.046
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Outcome after operative repair of ruptured abdominal aortic aneurysm (AAA) has traditionally been assessed in terms of survival. This study examines the functional outcome of patients who survive operation. Method: Consecutive patients who survived open repair over an 18-month period were entered into a prospective case-control study. Age- and sex-matched controls were identified from patients undergoing elective AAA repair. The Short Form-36 health survey was administered to both groups of patients at 6 months after operation. Results were compared with the expected scores for an age- and sex-matched normal UK population. Results: Fifty-seven patients underwent open repair of a ruptured AAA, and 30 survived; no patient was lost to follow-up. There were no significant differences in quality of life between patients who had an emergency repair and those who had an elective repair. Both of these groups had poorer health-related quality of life outcomes than the matched normal population. Surprisingly, compared with the normal population, patients after elective repair had poorer outcomes in more health domains than patients who survived emergency operation. Conclusions: Survivors of ruptured AAA repair have a good functional outcome within 6 months of operation.
引用
收藏
页码:758 / 761
页数:4
相关论文
共 25 条
[1]   Quality of life assessment in vascular disease: Towards a consensus [J].
Beattie, DK ;
Golledge, J ;
Greenhalgh, RM ;
Davies, AH .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 1997, 13 (01) :9-13
[2]   Quality of life after emergency abdominal aortic aneurysm repair [J].
Bohmer, RD ;
Fleischl, J ;
Knight, D .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 1999, 69 (06) :447-449
[3]   Short Form 36 (SF-36) Health Survey questionnaire: which normative data should be used? Comparisons between the norms provided by the omnibus survey in Britain, the Health Survey for England and the Oxford Healthy Life Survey [J].
Bowling, A ;
Bond, M ;
Jenkinson, C ;
Lamping, DL .
JOURNAL OF PUBLIC HEALTH MEDICINE, 1999, 21 (03) :255-270
[4]  
CURRIE IC, 1992, ANN ROY COLL SURG, V74, P269
[5]   Ruptured abdominal aortic aneurysms in the 1990s: Resource utilization, long-term survival, and quality of life after repair [J].
Eskandari, MK ;
Bowles, SA ;
Webster, MW ;
Steed, DL ;
Makaroun, MS ;
Muluk, SC ;
Rhee, RY ;
Chelluri, L .
VASCULAR SURGERY, 1998, 32 (05) :415-424
[6]  
Gefke K, 1994, Ann Vasc Surg, V8, P137, DOI 10.1007/BF02018861
[7]  
Hennessy A, 1998, EUR J SURG, V164, P673
[8]  
Joseph Abed Y, 2002, Vasc Endovascular Surg, V36, P65, DOI 10.1177/153857440203600111
[9]   Long-term survival and health-related quality of life of patients with ruptured abdominal aortic aneurysm [J].
Korhonen, SJ ;
Kantonen, I ;
Pettilä, V ;
Keränen, J ;
Salo, JA ;
Lepäntalo, M .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2003, 25 (04) :350-353
[10]   A NEW SIMPLIFIED ACUTE PHYSIOLOGY SCORE (SAPS-II) BASED ON A EUROPEAN NORTH-AMERICAN MULTICENTER STUDY [J].
LEGALL, JR ;
LEMESHOW, S ;
SAULNIER, F .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1993, 270 (24) :2957-2963