Ruptured abdominal aortic aneurysms.
A series of 180 consecutive patients with ruptured aortic aneurysms has been studied to determine the causes of death. 18% died before operation could be carried out, 8% proved inoperable and a further 10.5% died before operation could be completed. Overall mortality was 75%. By multivariate analysis, the most significant preoperative features influencing survival were a systolic BP less than 80 mmHg on admission and a history of hypertension, angina or myocardial infarct. The mortality increased with increasing age. Administration of fresh frozen plasma preoperatively significantly increased survival. However, we could not identify a single group of patients for whom the outcome was inevitably fatal.
D000328:Adult; D000367:Age Factors; D000368:Aged; D001012:Aorta, Abdominal / Q000473:pathology / Q000601:surgery; D001019:Aortic Rupture / Q000150:complications / Q000401:mortality* / Q000473:pathology / Q000601:surgery; D001794:Blood Pressure; D001803:Blood Transfusion; D006801:Humans; D006973:Hypertension / Q000150:complications; D007223:Infant; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications; D011379:Prognosis; D012189:Retrospective Studies