腹主动脉瘤特征和预后:一项单中心回顾性横断面研究。

Gregorio Arellano-Gutiérrez, Alan Y Rodríguez-Andrade, Iván E Murillo-Barrios
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引用次数: 0

摘要

研究目的本研究的目的是评估腹主动脉瘤(AAA)患者的特征和预后,及其与手术后头 30 天死亡率的相关性:对人口统计学信息、临床和放射学特征以及手术后 30 天的结果进行了评估和比较。连续变量采用学生 t 检验,分类变量采用卡方检验和费雪精确检验:结果:手术时间(p = 0.001)、失血量(p < 0.001)、年龄大于 75 岁(p = 0.027)、动脉瘤大小大于 65 毫米(p = 0.01)、开放手术(p = 0.001)、疼痛(p = 0.005)、慢性肾病(p = 0.03)和动脉瘤破裂(p < 0.001)是与死亡率显著相关的因素:结论:评估患者特征和合并症以及可能影响预后的因素对预测 AAA 患者的预后至关重要。目前,没有一种死亡率预测模型是普遍适用的,不同人群的表现差异很大,可能需要一种适应相关人群的模型。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Abdominal aortic aneurysm characteristics and outcomes: a single-center retrospective cross-sectional study.

Objective: The objective of the study is to evaluate the characteristics and outcomes of patients with abdominal aortic aneurysm (AAA) and its correlation with mortality in the first 30 days after the procedure was performed.

Methods: Demographic information, clinical and radiological characteristics, as well as outcomes 30 days after the procedure was performed were assessed and compared. Continuous variables were analyzed with Student's t-test and categorical with Chi-square and Fisher's exact test.

Results: Duration of the procedure (p = 0.001), blood loss (p < 0.001), age > 75 years (p = 0.027), aneurysm size > 65 mm (p = 0.01), open surgery (p = 0.001), presence of pain (p = 0.005), chronic kidney disease (p = 0.03), and rupture of the aneurysm (p < 0.001) were the factors significantly associated with mortality.

Conclusion: It is essential that patient characteristics and comorbidities are assessed, as well as factors that may affect the outcomes to predict the prognosis in patients with AAA. At present, no mortality predictive model is universally applicable and highly variable performance across different populations might need a model that adapts to the population of interest.

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