Journal of Vascular Surgery
Volume 49, Issue 5 , Pages 1093-1099 , May 2009

Prediction of 30-day mortality after endovascular repair or open surgery in patients with ruptured abdominal aortic aneurysms

  • Jacob J. Visser, MD, PhD

      Affiliations

    • Department Epidemiology and Biostatistics, Erasmus Medical Center, Rotterdam, The Netherlands
    • Department of Radiology, Erasmus Medical Center, Rotterdam, The Netherlands
  • ,
  • Martine Williams, MD

      Affiliations

    • Department of Surgery, University Medical Center, Nijmegen, The Netherlands
  • ,
  • Jur Kievit, MD

      Affiliations

    • Department of Surgery, Catharina Hospital, Eindhoven, The Netherlands
  • ,
  • Johanna L. Bosch, PhD

      Affiliations

    • Department Epidemiology and Biostatistics, Erasmus Medical Center, Rotterdam, The Netherlands
    • Department of Radiology, Erasmus Medical Center, Rotterdam, The Netherlands
    • Institute of Technology Assessment, Massachusetts General Hospital, Harvard Medical School, Nijmegen, The Netherlands
    • Corresponding Author InformationReprint requests: Marc R.H.M. van Sambeek, MD, PhD, Department of Surgery/Vascular Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ Eindhoven, The Netherlands
  • ,
  • 4-A Study Group

      Affiliations

    • 4A-Study Group: Jacob J. Visser, MD, PhD, Johanna L. Bosch, PhD, M.G. Myriam Hunink, MD, PhD, Joep A.W. Teijink, MD, PhD, Eric L.G. Verhoeven, MD, PhD, Martine Willems, MD, André A.E.A de Smet, MD, PhD, Jur Kievit, MD, Robert H. Geelkerken, MD, PhD, Ewout W. Steyerberg, PhD, Marc R.H.M. van Sambeek, MD, PhD.

Received 15 October 2008 ,Accepted 12 December 2008.

References 

  1. Samy AK, Murray G, MacBain G. Glasgow aneurysm score. Cardiovasc Surg. 1994;2:41–44
  2. Leo E, Biancari F, Nesi F, Pogany G, Bartolucci R, De Pasquale F, et al. Risk-scoring methods in predicting the immediate outcome after emergency open repair of ruptured abdominal aortic aneurysm. Am J Surg. 2006;192:19–23
  3. Korhonen SJ, Ylönen K, Biancari F, Heikkinen M, Salenius JP, Lepäntalo M Finnvasc Study Group. Glasgow Aneurysm Score as a predictor of immediate outcome after surgery for ruptured abdominal aortic aneurysm. Br J Surg. 2004;91:1449–1452
  4. Tambyraja AL, Fraser SC, Murie JA, Chalmers RT. Validity of the Glasgow Aneurysm Score and the Hardman Index in predicting outcome after ruptured abdominal aortic aneurysm repair. Br J Surg. 2005;92:570–573
  5. Tambyraja AL, Lee AJ, Murie JA, Chalmers RT. Prognostic scoring in ruptured abdominal aortic aneurysm: a prospective evaluation. J Vasc Surg. 2008;47:282–286
  6. Yusuf SW, Whitaker SC, Chuter TA, Wenham PW, Hopkinson BR. Emergency endovascular repair of leaking aortic aneurysm. Lancet. 1994;344:1645
  7. Visser JJ, van Sambeek MR, Hamza TH, Hunink MG, Bosch JL. Ruptured abdominal aortic aneurysms: endovascular repair versus open surgery–systematic review. Radiology. 2007;245:122–129
  8. Franks S, Lloyd G, Fishwick G, Bown M, Sayers R. Endovascular treatment of ruptured and symptomatic abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2006;31:345–350
  9. Larzon T, Lindgren R, Norgren L. Endovascular treatment of ruptured abdominal aortic aneurysms: a shift of the paradigm?. J Endovasc Ther. 2005;12:548–555
  10. Castelli P, Caronno R, Piffaretti G, Tozzi M, Laganà D, Carrafiello G, et al. Ruptured abdominal aortic aneurysm: endovascular treatment. Abdom Imaging. 2005;30:263–269
  11. Alsac JM, Desgranges P, Kobeiter H, Becquemin JP. Emergency endovascular repair for ruptured abdominal aortic aneurysms: feasibility and comparison of early results with conventional open repair. Eur J Vasc Endovasc Surg. 2005;30:632–639
  12. Hinchliffe RJ, Bruijstens L, MacSweeney ST, Braithwaite BD. A randomised trial of endovascular and open surgery for ruptured abdominal aortic aneurysm - results of a pilot study and lessons learned for future studies. Eur J Vasc Endovasc Surg. 2006;32:506–513discussion 514-5.
  13. Peppelenbosch N, Geelkerken RH, Soong C, Cao P, Steinmetz OK, Teijink JA, et al. Endograft treatment of ruptured abdominal aortic aneurysms using the Talent aortouniiliac system: an international multicenter study. J Vasc Surg. 2006;43:1111–1123discussion 1123.
  14. Visser JJ, Bosch JL, Hunink MG, van Dijk LC, Hendriks JM, Poldermans D, et al. Endovascular repair versus open surgery in patients with ruptured abdominal aortic aneurysms: clinical outcomes with 1-year follow-up. J Vasc Surg. 2006;44:1148–1155
  15. Bohm N, Wales L, Dunckley M, Morgan R, Loftus I, Thompson M. Objective risk-scoring systems for repair of abdominal aortic aneurysms: applicability in endovascular repair?. Eur J Vasc Endovasc Surg. 2008;36:172–177
  16. Baas AF, Janssen KJ, Prinssen M, Buskens E, Blankensteijn JD. The Glasgow Aneurysm Score as a tool to predict 30-day and 2-year mortality in the patients from the Dutch Randomized Endovascular Aneurysm Management trial. J Vasc Surg. 2008;47:277–281
  17. Tang TY, Walsh SR, Fanshawe TR, Seppi V, Sadat U, Hayes PD, et al. Comparison of risk-scoring methods in predicting the immediate outcome after elective open abdominal aortic aneurysm surgery. Eur J Vasc Endovasc Surg. 2007;34:505–513
  18. Hirzalla O, Emous M, Ubbink DT, Legemate D. External validation of the Glasgow Aneurysm Score to predict outcome in elective open abdominal aortic aneurysm repair. J Vasc Surg. 2006;44:712–716discussion 717.
  19. Faizer R, DeRose G, Lawlor DK, Harris KA, Forbes TL. Objective scoring systems of medical risk: a clinical tool for selecting patients for open or endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2007;45:1102–1108
  20. Central Committee on Research Involving Human Subjects. http://www.ccmo-online.nl/Accessed: February 10, 2006.
  21. van der Heijden GJ, Donders AR, Stijnen T, Moons KG. Imputation of missing values is superior to complete case analysis and the missing-indicator method in multivariable diagnostic research: a clinical example. J Clin Epidemiol. 2006;59:1102–1109
  22. Steyerberg EW, Borsboom GJ, van Houwelingen HC, Eijkemans MJ, Habbema JD. Validation and updating of predictive logistic regression models: a study on sample size and shrinkage. Stat Med. 2004;23:2567–2586
  23. Harrell F. Regression Modeling Strategies: with Applications to Linear Models, Logistic Regression, and Survival Analysis. New York: Springer; 2001;
  24. Lloyd GM, Bown MJ, Norwood MG, Deb R, Fishwick G, Bell PR, et al. Feasibility of preoperative computer tomography in patients with ruptured abdominal aortic aneurysm: a time-to-death study in patients without operation. J Vasc Surg. 2004;39:788–791
  25. Hordijk-Trion M, Lenzen M, Wijns W, de Jaegere P, Simoons ML, Scholte op Reimer WJ, et al. Patients enrolled in coronary intervention trials are not representative of patients in clinical practice: results from the Euro Heart Survey on Coronary Revascularization. Eur Heart J. 2006;27:671–678
  26. Lloyd-Williams F, Mair F, Shiels C, Hanratty B, Goldstein P, Beaton S, et al. Why are patients in clinical trials of heart failure not like those we see in everyday practice?. J Clin Epidemiol. 2003;56:1157–1162

 The study was funded by Erasmus MC Health Care Efficiency grant and an unrestricted educational grant from the “Lijf en Leven” Foundation.

 Competition of interest: none.

PII: S0741-5214(08)02264-7

doi: 10.1016/j.jvs.2008.12.027

Journal of Vascular Surgery
Volume 49, Issue 5 , Pages 1093-1099 , May 2009