Long-term survival and health-related quality of life of patients with ruptured abdominal aortic aneurysm

Introduction: the outcome of ruptured abdominal aortic aneurysm (RAAA) patients is most frequently measured as operative or in-hospital mortality rate. However, survival alone is not an indicator of quality of the treatment. Assessment of quality of life (QoL) is used increasingly and is a relevant measure Of outcome. Objective:. to assess long-term survival and QoL of patients undergoing repair of RAAA. Design: follow-up study with cross-sectional QoL evaluation. Materials and Methods: between 1996 and 2000, 199 of 220 patients with RAAA underwent surgery. Survivors were sent the generic the RAND 36-item Health Survey (RAND-36) self-administered questionnaire. Results: total hospital mortality and operative mortality were 103 of 220 (47%) and 82 of 199 (41%). Of the 117 initial survivors, 21 were deceased at the time of the study. When compared to an age- and sex-adjusted general population, only physical functioning was significantly impaired (p = 0.01) in the 82 of 93 (88%) RAAA survivors who responded. Conclusions: survivors after repair of RAAA had almost the same QoL as the norms of an age- and sex-adjusted general population, justifies an aggressive operative policy in RAAA.