https://m2.mtmt.hu/ hun 2026-07-28 21:57 JournalArticle 3410604 VALIDATED true Department of Surgical Sciences, Vascular Surgery, Uppsala University, Uppsala, Sweden Department of Cardio-Thoracic and Vascular Surgery, Aarhus University Hospital, Aarhus, Denmark Department of Vascular Surgery, Helsinki University Hospital, Helsinki, Finland Department of Vascular Medicine, University Heart Centre Hamburg – Eppendorf, Hamburg, Germany Department of Vascular Surgery, St Olavs Hospital, Trondheim, Norway Australian and New Zealand Society for Vascular Surgery, East Melbourne, Australia Department of Vascular Surgery, Semmelweis University, Budapest, Hungary National University Hospital of Iceland, Department of Surgery, Reykjavík, Iceland Department of Vascular Surgery, Dunedin School of Medicine, Dunedin Hospital, Dunedin, New Zealand Department of Cardiovascular Surgery, Kantonsspital Winterthur, Switzerland Department of Surgery, University of Otago, Christchurch, New Zealand Department of Vascular Surgery, St George's University of London, London, United Kingdom Cited By :50 Export Date: 21 February 2022 CODEN: EJVSF Correspondence Address: Budtz-Lilly, J.; Department of Surgical Sciences, Sweden; email: jacobudt@rm.dk 0 2018-10-02T08:54:25.000+0000 false 3410604 2026-07-17T00:37:14.857+0000 2023-05-04T18:49:37.997+0000 2018-09-05T07:57:53.000+0000 true 10025764 Szeberin Zoltán /api/author/10025764 Author true 10025764 2025-09-01T11:06:44.344+0000 2023-05-04T18:49:38.248+0000 true 10015546 Berhidi Anna /api/admin/10015546 Admin true 10015546 true false true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 10000059 Article true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/10000059 Szakcikk SubType 101 true 10000059 true 1 /api/category/1 Category true 1 Budtz-Lilly, J Editor's Choice - The Impact of Centralisation and Endovascular Aneurysm Repair on Treatment of Ruptured Abdominal Aortic Aneurysms Based on International Registries. true true /api/journal/7477 REVIEWED true false 7477 false 7477 true 1078-5884 1532-2165 Journal FOREIGN 56 2 181 188 181 8 2018 OBJECTIVES: Current management of ruptured abdominal aortic aneurysms (RAAA) varies among centres and countries, particularly in the degree of implementation of endovascular aneurysm repair (EVAR) and levels of vascular surgery centralisation. This study assesses these variations and the impact they have on outcomes. MATERIALS AND METHODS: RAAA repairs from vascular surgical registries in 11 countries, 2010-2013, were investigated. Data were analysed overall, per country, per treatment modality (EVAR or open aortic repair [OAR]), centre volume (quintiles IV), and whether centres were predominantly EVAR (>/=50% of RAAA performed with EVAR [EVAR(p)]) or predominantly OAR [OAR(p)]. Primary outcome was peri-operative mortality. Data are presented as either mean values or percentages with 95% CI within parentheses, and compared with chi-square tests, as well as with adjusted OR. RESULTS: There were 9273 patients included. Mean age was 74.7 (74.5-74.9) years, and 82.7% of patients were men (81.9-83.6). Mean AAA diameter at rupture was 7.6 cm (7.5-7.6). Of these aneurysms, 10.7% (10.0-11.4) were less than 5.5 cm. EVAR was performed in 23.1% (22.3-24.0). There were 6817 procedures performed in OAR(p) centres and 1217 performed in EVAR(p) centres. Overall peri-operative mortality was 28.8% (27.9-29.8). Peri-operative mortality for OAR was 32.1% (31.0-33.2) and for EVAR 17.9% (16.3-19.6), p < .001, and the adjusted OR was 0.38 (0.31-0.47), p < .001. The peri-operative mortality was 23.0% in EVAR(p) centres (20.6-25.4), 29.7% in OAR(p) centres (28.6-30.8), p < .001; adjusted OR = 0.60 (0.46-0.78), p < .001. Peri-operative mortality was lower in the highest volume centres (QI > 22 repairs per year), 23.3% (21.2-25.4) than in QII-V, 30.0% (28.9-31.1), p < .001. Peri-operative mortality after OAR was lower in high volume centres compared with the other centres, 25.3% (23.0-27.6) and 34.0% (32.7-35.4), respectively, p < .001. There was no significant difference in peri-operative mortality after EVAR between centres based on volume. CONCLUSIONS: Peri-operative mortality is lower in centres with a primary EVAR approach or with high case volume. Most repairs, however, are still performed in low volume centres and in centres with a primary OAR strategy. 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src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" >Budtz-Lilly J ✉ </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Bjorck M </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Venermo M </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Debus S </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Behrendt CA </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Altreuther M </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Beiles B </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10025764"><a href="/gui2/?type=authors&mode=browse&sel=10025764" target="_blank">Szeberin Z (<span class="authorship-author-name">Szeberin Zoltán</span> <span class="authorAux-mtmt"> Érsebészet</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Városmajori Szív- és Érgyógyászati Klinika">VAROSMAJOR_SZÍVÉRGYÓGY</span>/Érsebészeti Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Eldrup N </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Danielsson G </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Thomson I </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Wigger P </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Khashram M </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Loftus I </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Mani K </span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;3410604" target="_blank">Editor's Choice - The Impact of Centralisation and Endovascular Aneurysm Repair on Treatment of Ruptured Abdominal Aortic Aneurysms Based on International Registries.</a></div> <div> <span class="journal-title">EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/1078-5884">1078-5884</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/1532-2165">1532-2165</a>)</span>: <span class="journal-volume">56</span> <span class="journal-issue">2</span> <span class="page"> pp 181-188 </span> <span class="year">(2018)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_PAY" title=" Fizetős "> <a style="color:blue" title="10.1016/j.ejvs.2018.01.014" target="_blank" href="https://doi.org/10.1016/j.ejvs.2018.01.014"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000444272200008" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000444272200008"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="85042366979" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85042366979"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="29482972" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=29482972&dopt=Abstract"> PubMed </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Surgery&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;D1</div> <div class="journal-subject">Folyóirat szakterülete: Scopus - Cardiology and Cardiovascular Medicine&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q1</div> </div></OnlyViewableByAuthor> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 92</span> | Független: 50 | Függő: 42 | Nem jelölt: 0 | WoS jelölt: 91 | Scopus jelölt:&nbsp;85 | WoS/Scopus jelölt:&nbsp;92 | DOI jelölt:&nbsp;91 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;3410604&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 3 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 3410604</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> <span class="oldId">Régi azonosító: 3410604</span> | Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">MEDLINE</span> </div> <div class="lastModified">Utolsó módosítás: 2023.05.04. 20:49 Berhidi Anna (SE_KK_Admin5_BA, admin) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: Department of Surgical Sciences, Vascular Surgery, Uppsala University, Uppsala, Sweden Department of Cardio-Thoracic and Vascular Surgery, Aarhus University Hospital, Aarhus, Denmark Department of Vascular Surgery, Helsinki University Hospital, Helsinki, Finland Department of Vascular Medicine, University Heart Centre Hambu...</pre> </div></div>