ANZ journal of surgery · 2009
How safe is open abdominal aortic aneurysm surgery for octogenarians in New Zealand?
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Thomson Ian A, Goh Fern, Livingstone Vicki, van Rij Andre M
Аннотация
BACKGROUND: Abdominal aortic aneurysm (AAA) is an important cause of mortality for the aged, a group that has been denied surgery in the past for fear of peri-operative mortality. Is this attitude still justified?
METHODS: Analysis of prospectively gathered data from a vascular database.
RESULTS: 10.9% of all open AAA operations were in patients older than 79 years with an 8% mortality rate compared to 3% for younger patients. For fit elderly patients with ASA scores less than 3, mortality was just under 4%. Renal failure and wound dehiscence were more common in the elderly.
CONCLUSION: When endovascular repair is not possible in a fit elderly patient, open surgery can be performed with acceptable results.
METHODS: Analysis of prospectively gathered data from a vascular database.
RESULTS: 10.9% of all open AAA operations were in patients older than 79 years with an 8% mortality rate compared to 3% for younger patients. For fit elderly patients with ASA scores less than 3, mortality was just under 4%. Renal failure and wound dehiscence were more common in the elderly.
CONCLUSION: When endovascular repair is not possible in a fit elderly patient, open surgery can be performed with acceptable results.