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Influence of transportation distance on mortality in ruptured abdominal aortic aneurysms |
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| Authors: | Ilkka Kantonen M.D. Michael Luther M.D. Juha-Pekka Salenius M.D. Hannu Huusari M.D. Ari Jaakkola M.D. Jarkko Lehtonen M.D. Pekka Nikula M.D. Kalle Rissanen M.D. Hannu Savolainen M.D. Kari Ylönen M.D. Mauri Lepäntalo M.D. |
| Affiliation: | (1) Department of Surgery, Vaasa Central Hospital, Vaasa;(2) Department of Surgery, Tampere University Hospital, Tampere;(3) Department of Surgery, Päijät-Häme Central Hospital, Lahti;(4) Department of Surgery, Seinäjoki Central Hospital, Seinäjoki;(5) Department of Surgery, Kanta-Häme Central Hospital, Hämeenlinna;(6) Department of Surgery, Kokkola Central Hospital, Kokkola;(7) Department of Surgery, Kainuu Central Hospital, Kajaani;(8) Department of Surgery, Lapland Central Hospital, Rovaniemi;(9) Department of Surgery, Oulu University Hospital, Oulu, Finland;(10) Division of Vascular Surgery, Department of Surgery, Helsinki University Central Hospital, P.O. Box 261, FIN-00029 HUCH Helsinki, Finland |
| 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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