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Risk prediction in patients undergoing elective endovascular repair of an abdominal aortic aneurysm.
Nevala, Terhi; Biancari, Fausto; Perälä, Jukka; Manninen, Hannu; Aho, Pekka-Sakari; Matsi, Pekka; Mäkinen, Kimmo; Roth, Wolf-Dieter; Ylönen, Kari; Lepäntalo, Mauri.
Afiliação
  • Nevala T; Department of Radiology, Oulu University Hospital, Oulu, Finland. Terhi.Nevala@ppshp.fi
Scand Cardiovasc J ; 44(2): 125-8, 2010 Apr.
Article em En | MEDLINE | ID: mdl-19961285
OBJECTIVES: The aim of this study was to retrospectively evaluate three risk scoring methods in predicting outcome after elective endovascular repair of an abdominal aortic aneurysm. DESIGN: A Zenith stent graft was employed in 205 patients during years 2001-2005. RESULTS: The 30-day postoperative mortality rate was 2.9%. Receiver operating characteristics (ROC) curve analysis showed that the Glasgow aneurysm score (GAS) (AUC: 0.843, p=0.004) and the Giles' score (AUC 0.815, p=0.009) had a rather large area under the curve in predicting 30-day mortality rate. The modified Leiden score was much less accurate (AUC: 0.594). The best cut-off value for the GAS in predicting 30-day mortality was 90 (0.6% vs. 17.9%, p<0.0001). Patients with a GAS > or = 90 had a 4-year survival rate of 56.8%, whereas it was 78.5% among those with a lower GAS (p = 0.001). The best cut-off value for the Giles' score was 11 (1.3% vs. 8.3%, p<0.0001). Patients with a Giles' score > or = 11 had a 4-year survival rate of 63.9%, whereas it was 79.0% among those with a lower score (p = 0.016). CONCLUSIONS: The GAS and Giles' risk scoring methods are good predictors of poor immediate and late outcome after EVAR.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Indicadores Básicos de Saúde / Aneurisma da Aorta Abdominal / Implante de Prótese Vascular Tipo de estudo: Etiology_studies / Evaluation_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Aged80 / Female / Humans / Male Idioma: En Ano de publicação: 2010 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Indicadores Básicos de Saúde / Aneurisma da Aorta Abdominal / Implante de Prótese Vascular Tipo de estudo: Etiology_studies / Evaluation_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Aged80 / Female / Humans / Male Idioma: En Ano de publicação: 2010 Tipo de documento: Article