Outcome of surgery >> Open repair after emergency admission

Overall mortality for open AAA repair after emergency admission was 36%.

Patients admitted as an emergency with an aortic aneurysm were more likely to receive palliative, non-operative treatment in an intermediate sized vascular unit than in a large unit.

The overall mortality for patients who underwent open AAA repair after emergency admission was 36% (94/264). There was little difference between the operative outcome between large and intermediate units (Table 6).

Table 6. Outcome after emergency open repair by size of vascular unit
  Large unit % Intermediate unit % Remote unit % Not answered Total
Died within 30 days 35 29 44 35 6 75 9 94
Alive at 30 days 86   80   2   2 170
Total 121   124   8   11 264

It is known that there is a difference in operative mortality for emergency patients depending on whether the aneurysm is ruptured or not, so the outcome of patients has been considered separately for patients with ruptured and unruptured aneurysms.

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