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https://hdl.handle.net/2440/41879
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Type: | Journal article |
Title: | Factors affecting survival after endovascular aneurysm repair: results from a population based audit |
Author: | Boult, M. Maddern, G. Barnes, M. Fitridge, R. |
Citation: | European Journal of Vascular and Endovascular Surgery, 2007; 34(2):156-162 |
Publisher: | W B Saunders Co Ltd |
Issue Date: | 2007 |
ISSN: | 1078-5884 1532-2165 |
Statement of Responsibility: | M. Boult, G. Maddern, M. Barnes and R. Fitridge |
Abstract: | Objectives: To determine the effect of pre-operative factors on mid-term survival of patients enrolled in an Australian audit of endovascular aneurysm repair (EVAR). Design: Prospective longitudinal national register (audit) of patients undergoing EVAR. Methods: 961 individuals who had elective or semi-urgent EVAR of abdominal aortic aneurysms were enrolled in the audit between November 1999 and May 2001. Data was contributed by 81 surgeons from 64 hospitals. Kaplan-Meier survival analysis was used to determine survival rates and factors significantly influencing survival. Parametric survival analysis with log-exponential distribution was used to estimate expected 3 and 5 year survival for different ages, ASA, creatinine and aneurysm sizes. Results: Overall survival was 93% at 1 year, 80% at 3 years and 67% at five years. Survival rates were found to be statistically associated with ASA, age, aneurysm size and creatinine levels. ASA has the largest effect. Five year survival rates for aneurysms ≥65 mm and <55 mm were 54% and 76% respectively. Pre-operative creatinine levels ≥ 160 μmol/L lowered the survival rate from 71% to 40%. Conclusions: Survival for EVAR patients is strongly correlated with a number of pre-operative factors. This survival analysis provides a useful decision-making tool for surgeons particularly for individuals with smaller aneurysms. |
Keywords: | Aorta Aneurysm Abdominal Australia Medical audit Data collection Registries |
Rights: | Copyright © 2007 Elsevier Ltd All rights reserved. |
DOI: | 10.1016/j.ejvs.2007.02.020 |
Published version: | http://dx.doi.org/10.1016/j.ejvs.2007.02.020 |
Appears in Collections: | Aurora harvest Statistics publications |
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