Influence of transportation distance on mortality in ruptured abdominal aortic aneurysms

Ilkka Kantonen; Michael Luther; Juha-Pekka Salenius; Hannu Huusari; Ari Jaakkola; Jarkko Lehtonen; Pekka Nikula; Kalle Rissanen; Hannu Savolainen; Kari Ylönen; Mauri Lepäntalo

doi:10.1007/BF01616833

International Journal of Angiology, Inhaltsverzeichnis

Int J Angiol 1999; 8(2): 134-137
DOI: 10.1007/BF01616833

Original Articles

Influence of transportation distance on mortality in ruptured abdominal aortic aneurysms

Ilkka Kantonen¹ , Michael Luther² , Juha-Pekka Salenius³ , Hannu Huusari⁴ , Ari Jaakkola⁵ , Jarkko Lehtonen⁶ , Pekka Nikula⁷ , Kalle Rissanen⁸ , Hannu Savolainen⁹ , Kari Ylönen¹⁰ , Mauri Lepäntalo¹

¹Department of Surgery, Helsinki University Central Hospital, Helsinki
²Department of Surgery, Vaasa Central Hospital, Vaasa
³Department of Surgery, Tampere University Hospital, Tampere
⁴Department of Surgery, Päijät-Häme Central Hospital, Lahti
⁵Department of Surgery, Seinäjoki Central Hospital, Seinäjoki
⁶Department of Surgery, Kanta-Häme Central Hospital, Hämeenlinna
⁷Department of Surgery, Kokkola Central Hospital, Kokkola
⁸Department of Surgery, Kainuu Central Hospital, Kajaani
⁹Department of Surgery, Lapland Central Hospital, Rovaniemi
¹⁰Department of Surgery, Oulu University Hospital, Oulu, Finland

Abstract

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Abstract

Different opinions exist about the influence of transportation distance to vascular surgical emergency service on outcome for ruptured abdominal aortic aneurysms (RAAAs). Therefore, retrospective study based on the Finnvasc registry and the Finnish Cause of Death registry (Statistics Finland) was carried out. A total of 404 RAAAs were registered in the catchment areas of two university hospitals during a four-year period; 203 of them were operated. The operative mortality rate was 50% based on the Finnvasc registry and 55% based on Statistics Finland. The total hospital mortality rate including operated and nonoperated patients was 69% and the overall case fatality including all deaths for RAAA was 77%. There was no association between transportation distance and results of RAAA treatment.

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