Cardiothoracic & vascular anesthesia
A Multidisciplinary Protocolized Approach for Ruptured Abdominal Aortic Aneurysm Management: A Retrospective Before-After Study
Authors' conclusion
Implementation of a multidisciplinary protocol for the management of a rAAA may reduce rates of adverse complications and improve the quality of care.
Study context
- Population
- Adults undergoing open or endovascular ruptured abdominal aortic aneurysm repair at a tertiary-care academic hospital
- Participants
- 77 adults
- Exposure
- Group 1 vs Group 2
- Group 1n = 41reference
- Group 2n = 36
- Outcome
- In-hospital mortality
Methodological detailssingle-centre, Yearly training workshops for vascular surgery, anaesthesia, ED and OR staff
- Single-centre
- Yearly training workshops for vascular surgery, anaesthesia, ED and OR staff
Main finding
As reported in the abstract
In-hospital mortality, by repair type
- Group 2 vs Group 1: P = 0.048
- Group 2 vs Group 1: P = 0.018
- Overall mortality across both repair types not reported
Observational data: associations, not effects.
Secondary outcomes
Time to incision
P = 0.022
Total procedure time
P = 0.039
Safety
All-cause morbidity (endovascular repair)
P = 0.050
Renal complications (endovascular repair)
P = 0.036
Bowel ischaemia (open repair)
P = 0.035
Original publication
A Multidisciplinary Protocolized Approach for Ruptured Abdominal Aortic Aneurysm Management: A Retrospective Before-After Study. J Cardiothorac Vasc Anesth. Published 17 December 2023. doi:10.
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