Abdominal aortic aneurysm: Still missing the message
- 1 April 1993
- journal article
- research article
- Published by Oxford University Press (OUP) in British Journal of Surgery
- Vol. 80 (4), 450-452
- https://doi.org/10.1002/bjs.1800800413
Abstract
Over a 7-month period 50 patients presented to the vascular unit with a ruptured or acute symptomatic abdominal aortic aneurysm (AAA). Information regarding the 24 months before acute presentation was obtained from the patient, family doctor and relevant case records to determine whether an asymptomatic aneurysm had previously been diagnosed but the patient not referred to the vascular service, or whether the patient had undergone an examination at which an aneurysm might reasonably have been expected to be diagnosed. Thirteen patients (26 per cent) had previously had an AAA diagnosed but only five had been referred. Thirteen patients (26 per cent) had had a total of 16 inpatient hospital admissions without an asymptomatic aneurysm being diagnosed. Six patients (12 per cent) underwent abdominal examination for an unrelated complaint by the family doctor without an asymptomatic aneurysm being diagnosed. A significant impact on overall mortality from aortic aneurysm may be made by increasing the number of patients undergoing elective aneurysm repair. All doctors should assess aortic diameter in all patients over 50 years of age who undergo abdominal examination for whatever reason. All patients diagnosed as having an asymptomatic AAA should be referred to a vascular surgeon for assessment.Keywords
This publication has 19 references indexed in Scilit:
- Age-standardized incidence of ruptured aortic aneurysm in a defined Swedish population between 1952 and 1988: mortality rate and operative resultsBritish Journal of Surgery, 1992
- The natural history of small abdominal aortic aneurysms: An ultrasound studyEuropean Journal of Vascular Surgery, 1990
- A study of the mortality from ruptured abdominal aortic aneurysms in a district communityEuropean Journal of Vascular Surgery, 1989
- How fast do very small abdominal aortic aneurysms grow?European Journal of Vascular Surgery, 1989
- Aneurysms and Arterial DissectionsPublished by Springer Science and Business Media LLC ,1989
- OXFORD SCREENING PROGRAMME FOR ABDOMINAL AORTIC ANEURYSM IN MEN AGED 65 TO 74 YEARSThe Lancet, 1988
- Trends in abdominal aortic aneurysm surgery in Scotland (1971–1984)European Journal of Vascular Surgery, 1988
- Impact of vascular surgery on community mortality from ruptured aortic aneurysmsBritish Journal of Surgery, 1986
- Screening for abdominal aortic aneurysmsBritish Journal of Surgery, 1985
- Clinical Fate of the Patient With Asymptomatic Abdominal Aortic Aneurysm and Unfit for Surgical TreatmentArchives of Surgery, 1972