In-hospital operative mortality of ruptured abdominal aortic aneurysm: a population-based analysis of 5593 patients in The Netherlands over a 10-year period.
OBJECTIVE
To determine the operative mortality of ruptured abdominal aortic aneurysm (RAAA) in The Netherlands.


METHODS
Retrospective population-based study of nation-wide in-hospital mortality of RAAA repair.


METHODS
Data were obtained from a national registry for medical diagnosis and procedures. In-hospital mortality of RAAA repair, defined as death during hospital admission irrespective of the cause of death, was determined in the period 1991-2000. Variables of potential influence on in-hospital mortality, including age, gender, date of surgery and hospital type (0-399 beds, > or =400 beds or university hospitals) were studied in a multivariate analysis.


RESULTS
The overall in-hospital mortality of RAAA repair in 5593 patients in the 10-year period was 41% (95% confidence interval: 40-42%). In the multivariate analysis, age and hospital type were the most important independent predictors for in-hospital mortality. Gender, year and season of surgery could not be identified as significant risk factors.


CONCLUSIONS
Over a recent decade, in-hospital mortality of RAAA repair remained unchanged at 41%. Age and hospital class were the most important independent risk factors.
Visser
P
P
Department of Vascular Surgery, Radboud University Nijmegen Medical Centre, The Netherlands.
Akkersdijk
G J M
GJ
Blankensteijn
J D
JD
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000401:mortality* / Q000601:surgery*; D001019:Aortic Rupture / Q000401:mortality* / Q000601:surgery*; D005260:Female; D006742:Hospital Bed Capacity; D017052:Hospital Mortality; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009426:Netherlands / Q000453:epidemiology; D012042:Registries; D012189:Retrospective Studies