M ª Lourdes Del Río-Solá, Romero-Estrella M ª Rosario, Roedan-Oliver Joan, Sergio Asensio-Rodriguez, Pérez-Fernández Sandra, Rial-Horcajo Rodrigo
{"title":"Strategic management and outcomes of surgical repair for ruptured abdominal aortic aneurysms in women: a systematic review and meta-analysis.","authors":"M ª Lourdes Del Río-Solá, Romero-Estrella M ª Rosario, Roedan-Oliver Joan, Sergio Asensio-Rodriguez, Pérez-Fernández Sandra, Rial-Horcajo Rodrigo","doi":"10.1016/j.cireng.2024.11.019","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The repair of ruptured abdominal aortic aneurysms (R-AAA) entails high mortality. This study aims to analyze differences in postoperative outcomes.</p><p><strong>Methods: </strong>A meta-analysis was conducted of 8 studies involving 26 473 patients, evaluating 30-day mortality rates by comparing open surgical repair with endovascular repair and stratifying results by sex.</p><p><strong>Results: </strong>The 30-day mortality rate was 23.0% in women versus 13.0% in men, with an odds ratio (OR) of 2.05. Women had higher rates of postoperative complications, such as stroke (6.0% vs 4.0%) and renal failure (8.0% vs 5.0%), as well as prolonged ICU stay (12.3 ± 6.4 days vs 10.2 ± 5.7 days).</p><p><strong>Conclusion: </strong>These findings highlight the importance of adjusting surgical approaches to improve outcomes in women with R-AAA. Continued prospective studies are recommended to optimize treatment protocols.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cirugia espanola","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.cireng.2024.11.019","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: The repair of ruptured abdominal aortic aneurysms (R-AAA) entails high mortality. This study aims to analyze differences in postoperative outcomes.
Methods: A meta-analysis was conducted of 8 studies involving 26 473 patients, evaluating 30-day mortality rates by comparing open surgical repair with endovascular repair and stratifying results by sex.
Results: The 30-day mortality rate was 23.0% in women versus 13.0% in men, with an odds ratio (OR) of 2.05. Women had higher rates of postoperative complications, such as stroke (6.0% vs 4.0%) and renal failure (8.0% vs 5.0%), as well as prolonged ICU stay (12.3 ± 6.4 days vs 10.2 ± 5.7 days).
Conclusion: These findings highlight the importance of adjusting surgical approaches to improve outcomes in women with R-AAA. Continued prospective studies are recommended to optimize treatment protocols.
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