Volume 16, Issue 62 (7-2007)                   jour guilan uni med sci 2007, 16(62): 26-35 | Back to browse issues page

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Mohammadzadeh M, Mohammadzadeh A, Heidarzadeh A, Toloue Ghamari B, Mohammadi F. Relative Frequency of Postoperative Morbidity and Mortality Rate Of 119 Patients Who Were Admitted for Abdominal Aortic Reconstruction. jour guilan uni med sci. 2007; 16 (62) :26-35
URL: http://journal.gums.ac.ir/article-1-378-en.html
Abstract:   (30913 Views)
Abstract Introduction: The infer renal abdominal aorta and iliac arteries are the most common sites of chronic atherosclerotic occlusive disease and abdominal aortic aneurysm. Abdominal aortic reconstruction helped patients by extending their life and improving the life expectancy. Mortality rates related to elective surgery are approximately 5% at the best centers, rising to 40-60% in urgent surgery. Objective: The aim of this study is to: assess the postoperative complication and mortality rate of 119 patients who had abdominal aortic reconstruction. Materials and Methods: This is a retrospective study that carried out on 119 consecutive patients with atherosclerotic vascular disorders who underwent operation for abdominal aortic aneurysm and chronic atherosclerotic occlusive disease, between 1994 to 2004. The medical record of patients who underwent operation for abdominal aortic aneurysm and chronic atherosclerotic occlusive disease between 1994 to 2004 were collected. 119 surgeries were performed by one surgeon. Evaluating of risk factors, death and postoperative outcome (during the first 30 days) was performed base on usual methods. Data were analyzed according to standard health system research, Epi 3.3.2 and SPSS-10 comparative analysis through student test and chi-square test. Results: During 30 days after surgery, mortality rates were 6.7% in elective surgery and 22% in urgent surgery (p<0.001). Myocardial infarction was the most common cause of death, which occurred in 10 (8.4%) patients. The most common complications was bronchopneumonia, which occurred in 17 (14.3%) patients. Preexistent stroke disease was associated with an average mortality rate of 50% compared with 11.7% without this co morbidity (p<0.05) and associated with an average complication rate of 75% compared with 28.8% without this co morbidity (p<0.05). Preexistent chronic obstructive pulmonary disease was associated with an average complication rate of 55.6% compared with 25% without this co morbidity (p<0.05). There was no specific correlation between other associated diseases and risk factors with mortality and complication. Conclusions: The results showed there is low rate mortality for abdominal aortic aneurysm in elective surgery, so diagnosis and elective surgery offered low rate of mortality and complication and long life expectancy for the patients.
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Type of Study: Research | Subject: Special
Received: 2013/12/29 | Accepted: 2013/12/29 | Published: 2013/12/29

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