medigraphic.com

2012, Number 1

<< Back Next >>

Revista Cubana de Angiología y Cirugía Vascular 2012; 13 (1)

Preoperative parameters predictive of mortality in the ruptured abdominal aortic aneurysm under the kidney in geriatric patients

Chércoles CL, Sánchez DD, Fong EA, Ortiz LD

Language: Spanish
References: 17
Page:
PDF size: 236.57 Kb.


ABSTRACT

Introduction: the ruptured abdominal aortic aneurysm under the kidney holds high mortality rates. There is not general consensus on identification of the preoperative parameters predictive of mortality from this cause.
Objective: to identify the preoperative parameters predictive of mortality from ruptured abdominal aortic aneurysm under the kidney.
Methods: a retrospective study was conducted on the patients who arrived to the "Saturnino Lora" provincial university hospital of Santiago of Cuba with a diagnosis of ruptured abdominal aortic aneurysm under the kidney from January 1st 1998 to December 31st 2008. The sample comprised 37 older patients. The study variables were age, sex, hemoglobin and creatinine concentrations, presence of electrocardiographic ischemia and state of consciousness.
Results: patients aged 60 to 75 years and males predominated. Twenty four out of the 37 patients died; all of them had some of the preoperative factors predictive of mortality that literature describes; for example, hemoglobin concentrations below 90 g/L in 23 (62.1 %) patients and myocardial ischemia also in 23 patients. Nine (37.5 %) patients lost consciousness.
Conclusions: low hemoglobin concentrations, cardiac ischemia and loss of consciousness are the most associates parameters to preoperative mortality in older patients. Their presence in one patient may predict his/her evolving into death.


REFERENCES

  1. González DI, Filippo A, Pestana T RA, Marzan E AJ, Vengochea H AF. Cirugía del Aneurisma de la Aorta Abdominal. Bases Fisiológicas y Monitoría. Patología aórtica aguda. Rev Colombiana Cir [Internet]. 1998 [citado 12 Jul 2009];1(13). Disponible en: http://www.encolombia.com/medicina/cirugia/cirugia14399_experiencias19.htm

  2. Pleumeekers H JC, Hais AW, Vander Does E, Van Urk H, Grooebee D. Epidemiology of abdominal aortic aneurysms. Review Article. Eur J Vasc Surg. 1994;8:119-28.

  3. Bohórquez S JC, Doiz A E, Ocaña E, Craven B A, Rodríguez P M, Bohórquez S JC. Proteína C reactiva como factor pronóstico de mortalidad en los aneurismas de aorta abdominal rotos. Angiología. 2005;57(3):225-36.

  4. Dubost C. Allery M. Resections of Aneurysm of Abdominal Aortic. Arch Surg. 1957;64:405-8.

  5. Parodi J, Palmaz J, Barone H. Transfemoral Intraluminal Graft Implantation for Abdominal Aortic Aneurysms. Ann Vasc Surg. 1991;5:491-9.

  6. Najjar SF, Muller KH, Morasch MD, Matsumuy JS, Eskandari MK. Reparación endovascular de aneurismas abdominales rotos. Alternativa con menor morbilidad. Tratamiento. J Vasc Surg. 2008;32:1091.

  7. Baxter BT, Terrin MC, Dalman RL. Medical management of small abdominal aortic aneurysms. Circulation. 2008;117:1883-9.

  8. Hardman DT, Fisher CM, Patel MI, Neale M, Chambers J, Lane R, et al. Ruptured abdominal aortic aneurysms: Who should be offered surgery? J Vasc Surg [Internet]. 1996 [citado 8 Jun 2009];23(1):123-9. Disponible en: http://www.ncbi.nlm.nih.gov/htbin-post/entrez/query?db=m-d

  9. Prance SE, Wilson YG, Cosgrove CM, Walker AJ, Wilkins DC, Ashley S. Ruptured aortic aneurysms. Selecting patients for surgery. Eur J Vasc Endovasc Surg [Internet]. 1999 [citado 8 Jun 2009];17(2):129-32. Disponible en: http://www.ejves.com/article/S1078-5884%2898%2990718-3/abstract

  10. Reginald RN, Al AR. Morbimortalidad de la ruptura del aneurisma de aorta abdominal en el área geográfica del Hospital de Puerto Montt. Rev Chilena Cir. 2006;58(2):138-46.

  11. Rabelo da Silveira D. Aneurisma de la aorta abdominal roto: Factores pronóstico. J Vasc Brasilero [Internet]. 2005 [citado 12 Jul 2009]. Disponible en: http://www.goremedical.com/excluder/patient/es_patientlanding?gclid=CLn2hJCTsK8CFecSNAodPQzAEg

  12. Kipiani KB, Ubiluva PK. Effect of patient's preoperative condition on the outcome of the surgical repair of the infrarenal abdominal Aortic aneurysms. Georgian Med News. 2006;136 jul:28-32.

  13. Harthun NL. Current issues in the treatment of women with abdominal aortic aneurysm. Gend Med. 2008;5(1):36-43.

  14. Markh H Beers, Robert Porte, Thomes V Jones, L Kaplan, Michael Berkwits. Medicina Geriátrica. Manual Merck. Tomo X. 11a ed. España: ELSEVIER; 2007:3045-6.

  15. Chen JC, Hildebrand HD, Salvian AJ, Taylor DC, Strandberg S, Myckatyn TM, et al. Predictors of death in non-ruptured and ruptured abdominal aortic aneurysms. J Vasc Surg. 1996;24:614-20.

  16. Tang T, Wai-Leng C, Munday I, Gaunt M. Ruptured abdominal aortic aneurysm: It is possible to predict outcome? Int Angiol. 2004;23:47-53.

  17. Mertens R, Valdés F, Kramer A, Irarrázabal M, Mariné L,Vergara J. Aneurisma roto de aorta torácica descendente: tratamiento endovascular. Rev Méd Chile. 2006;129:1439-43.




2020     |     www.medigraphic.com