Setting the standards for reporting ruptured abdominal aortic aneurysm.
BACKGROUND
Reported mortality rates for endovascular repair (EVR) of ruptured abdominal aortic aneurysm (rAAA) vary from 0% to 50%. Selection bias, inaccurate reporting, and lack of uniform reporting standards are responsible for this significant discrepancy.


METHODS
Existing literature about the classification/reporting systems of rAAA is reviewed. A standard way of reporting rAAA based on the physiological, radiological, and operative findings is proposed.


CONCLUSIONS
The proposed system attempts to provide a universal language of communicating the severity of rupture, address the reporting bias, and allow comparing the outcomes of rAAA.
Soong
Chee V
CV
Department of Vascular Surgery, Belfast City Hospital, Belfast, UK.
Dasari
Bobby V M
BV
Loan
William
W
Hannon
Ray
R
Lee
Bernard
B
Lau
Louis
L
Thompson
Matthew
M
D017544:Aortic Aneurysm, Abdominal / Q000145:classification* / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery; D001019:Aortic Rupture / Q000145:classification* / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery; D001027:Aortography / Q000592:standards; D057510:Endovascular Procedures / Q000009:adverse effects / Q000401:mortality / Q000592:standards; D017408:Guidelines as Topic; D006302:Health Services Research / Q000592:standards*; D006801:Humans; D010043:Outcome and Process Assessment, Health Care / Q000592:standards; D011785:Quality Assurance, Health Care / Q000592:standards*; D019984:Quality Indicators, Health Care / Q000592:standards*; D012720:Severity of Illness Index; D009626:Terminology as Topic; D014057:Tomography, X-Ray Computed / Q000592:standards; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000401:mortality / Q000592:standards