Report of the Hungarian Vascular Registry's data of infrarenal aortic aneurysms (2010-2014)

• Published in: Orvosi hetilap Vol. 156; no. 49; p. 1991
• Main Authors: Hidi, László, Menyhei, Gábor, Kováts, Tamás, Dobai, Adrienn, Szeberin, Zoltán
• Format: Journal Article
• Language: Hungarian
• Published: Hungary 06.12.2015
• Subjects: Adult; Aged; Aged, 80 and over; Aortic Aneurysm, Abdominal - mortality; Aortic Aneurysm, Abdominal - surgery; Aortic Rupture - mortality; Aortic Rupture - surgery; Endovascular Procedures - adverse effects; Endovascular Procedures - mortality; Endovascular Procedures - statistics & numerical data; Female; Hospital Bed Capacity; Humans; Hungary - epidemiology; Kidney; Length of Stay - statistics & numerical data; Male; Middle Aged; Odds Ratio; Perioperative Period - mortality; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Registries; Retrospective Studies; Risk Factors; Treatment Outcome; Vascular Grafting - adverse effects; Vascular Grafting - mortality; Vascular Grafting - statistics & numerical data; Hungary; nyitott műtét; patient volume; registry; endovascular repair; betegforgalom; open surgical repair; regiszter; endovascularis; infrarenal aortic aneurysm; infrarenalis aortaaneurysma
• ISSN: 0030-6002
• DOI: 10.1556/650.2015.30309

The Hungarian Society for Vascular Surgery decided to analyse and publish regularly the data of the Hungarian Vascular Registry. The aim of the authors was to present the outcome of infrarenal aortic aneurysm surgeries performed during the past five years. 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. 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. In patients having endovascular repair and in institutes with high capacity the perioperative mortality and length of hospital stay were significantly lower.