Factors affecting mortality after surgery for infrarenal abdominal aortic aneurysm surgery

doi:10.3877/cma.j.issn.1674-0793.2011.06.010

Abstract

Abstract:

Objective

To investigate factors in affecting mortality after selective infrarenal abdominal aneurysm surgery.

Methods

Participants included 102 patients with a diagnosis of infrarenal abdominal aortic aneurysm in our hospital from 1995 to 2006. All of the patients underwent selective aneurysm resection and synthetic prosthesis replacement. Multivariable regression analyses were performed to examine the relation between surgery and mortality after surgery while controlling for baseline characteristics and early therapeutic interventions.

Results

The mortality rate was 6.67%, due in most cases to multiple organ failure. A significant correlation between the intraoperative cardiovascular complications and mortality existed in multivariable adjusted regression analyses (P < 0.05).

Conclusion

The improvement of anesthetic management of intraoperative circulatory system in selective infrarenal abdominal aneurysm surgery patients is associated with reduced mortality.

Key words: Abdominal aortic aneurysm, Mortality, Anesthesia

Nan JIANG, Liang-can XIAO, Ying XIAO, Jin-jun ZHANG, Jie-hua XIA, Wen-qi HUANG. Factors affecting mortality after surgery for infrarenal abdominal aortic aneurysm surgery[J]. Chinese Archives of General Surgery(Electronic Edition), 2011, 05(06): 503-507.

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References 17

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影响因素	死亡率
影响因素	单因素分析	多因素分析
年龄	1.040	0.566
既往史（合并症）	1.245	0.886
手术时间	0.887	0.763
阻断时间	0.153	0.336
输血量	1.000	0.829
附加手术	1.294	0.872
术中心血管并发症	1.356	0.045*
肿瘤大小	0.845	0.934
呼吸支持时间	1.004	0.934

影响因素	死亡率
影响因素	单因素分析	多因素分析
年龄	1.040	0.566
既往史（合并症）	1.245	0.886
手术时间	0.887	0.763
阻断时间	0.153	0.336
输血量	1.000	0.829
附加手术	1.294	0.872
术中心血管并发症	1.356	0.045*
肿瘤大小	0.845	0.934
呼吸支持时间	1.004	0.934

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