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Ruptured abdominal aortic aneurysms: Clinical presentation in Auckland 1993–1997 by Johanna Rose; Ian Civil; Timothy Koelmeyer; David Haydock; Dave Adams is a Medicine article available to read on EtoBox.

What is Ruptured abdominal aortic aneurysms: Clinical presentation in Auckland 1993–1997 about?

**Background**: Rupture of an abdominal aortic aneurysm (RAAA) carries a reported mortality rate in the range of 32–95%. Survival requires prompt diagnosis and surgical management. The presenting features, however, are varied, often insidious and potentially misleading with Osler noting nearly 100 years ago that a correct premortem diagnosis was achieved in only 33% of cases. The present study aims to review our present accuracy in diagnosing this condition and outline demographic and presenting features of patients with RAAA. **Methods**: A review was undertaken of hospital and Coroner’s files of all patients residing in the Auckland Coronial region who had RAAA between 1 January 1993 and 31 December 1997. **Results**: Three hundred and twenty‐nine cases of RAAA were identified, and they occurred most commonly in the 8th decade. The male:female ratio was 3:1 and at least 73% of patients were Caucasian. The overall mortality was 71%. Nearly half underwent surgery and the hospital averaged mortality rate was 46%. No patient survived without surgery. Classic presenting features of RAAA were absent in many cases. Abdominal pain, back pain and a palpable mass occurred in only 49%, 36%

Who reads Ruptured abdominal aortic aneurysms: Clinical presentation in Auckland 1993–1997?

Author

Johanna Rose; Ian Civil; Timothy Koelmeyer; David Haydock; Dave Adams

Publisher

John Wiley and Sons; Blackwell Publishing; Wiley (Blackwell Publishing); Blackwell Publishing Inc.; Wiley (ISSN 1445-1433)

Published

2001

Language

EN

Field

Medicine (Health Sciences)