title: [Report of the Hungarian Vascular Registry's data of infrarenal aortic aneurysms (2010-2014)].
abstract: BACKGROUND
  The Hungarian Society for Vascular Surgery decided to analyse and publish regularly the data of the Hungarian Vascular Registry.
  
  
  OBJECTIVE
  The aim of the authors was to present the outcome of infrarenal aortic aneurysm surgeries performed during the past five years.
  
  
  METHODS
  Prospectively collected multicentric data obtained from the Hungarian Vascular Registry between January 1, 2010 and December 31, 2014 were analysed retrospectively. Statistical analysis was performed using Fisher's exact test and odds ratio calculation.
  
  
  RESULTS
  It was found that 16.72% of the 1435 operations were performed for ruptured aneurysms. Five institutes having the highest capacity performed 78.4% of the operations. In the ruptured aortic aneurysm group the age of patients was 71.77±9.82 years (mean±SD), and perioperative mortality was 33.75%. In the intact aortic aneurysm group the age of patients was 69.50±8.46 years and the perioperative mortality was 3.51%. In both groups perioperative mortality (ruptured: p<0,05, OR = 0.11; intact: p<0.05, OR = 0.26) and the length of hospital stay (ruptured: p<0.05, OR = 4.55; intact: p<0.001, OR = 4.27) were significantly lower in patients who had endovascular repair compared to those with open repair. In both groups perioperative mortality (ruptured: p<0.0001, OR = 0.32; intact: p<0.0001, OR = 0.23) and length of hospital stay (ruptured: p<0.05, OR = 3.16; intact: p<0.001, OR = 3.84) were significantly lower in the five institutes having the highest capacity than in the remaining institutes.
  
  
  CONCLUSIONS
  In patients having endovascular repair and in institutes with high capacity the perioperative mortality and length of hospital stay were significantly lower.
authors.affiliation: Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Városmajor u. 68., 1122.
authors.forename: László
authors.initials: L
authors.lastname: Hidi
authors.affiliation: Klinikai Központ, Érsebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs.
authors.forename: Gábor
authors.initials: G
authors.lastname: Menyhei
authors.affiliation: Egészségügyi Szolgáltatásszervezési és fejlesztési Főigazgatóság, Állami Egészségügyi Ellátó Központ Budapest.
authors.forename: Tamás
authors.initials: T
authors.lastname: Kováts
authors.affiliation: Arc-, Állcsont-, Szájsebészeti és Fogászati Klinika, Semmelweis Egyetem, Fogorvos-tudományi Kar Budapest.
authors.forename: Adrienn
authors.initials: A
authors.lastname: Dobai
authors.affiliation: Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Városmajor u. 68., 1122.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Szeberin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000401:mortality / Q000601:surgery*; D001019:Aortic Rupture / Q000401:mortality / Q000601:surgery*; D057510:Endovascular Procedures / Q000009:adverse effects / Q000401:mortality / Q000706:statistics & numerical data*; D005260:Female; D006742:Hospital Bed Capacity; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D007668:Kidney; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D059035:Perioperative Period / Q000401:mortality*; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D012042:Registries; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D058017:Vascular Grafting / Q000009:adverse effects / Q000401:mortality / Q000706:statistics & numerical data*
keywords: betegforgalom; endovascular repair; endovascularis; infrarenal aortic aneurysm; infrarenalis aortaaneurysma; nyitott műtét; open surgical repair; patient volume; registry; regiszter