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Applicability of Glasgow Aneurysm Score and Hardman Index to elective endovascular abdominal aortic aneurysm repair

Sajid, MS; Tai, N; Goli, G; Platts, A; Baker, DM; Hamilton, G; (2007) Applicability of Glasgow Aneurysm Score and Hardman Index to elective endovascular abdominal aortic aneurysm repair. Asian J.Surg. , 30 (2) 113 - 117.

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Abstract

OBJECTIVE: This retrospective study aimed to explore the role of Glasgow Aneurysm Score (GAS) and Hardman Index (HI) in predicting outcome after elective endovascular aneurysm repair (EVAR). METHODS: All 71 patients who underwent elective EVAR in a single centre over 9 years were reviewed. Clinical data were used to classify patients into the three standard GAS tertiles and to score patients according to the HI. RESULTS: Fifty-one patients scored > or = 77 according to GAS. Actual and predicted mortality in this group were 3.9% and 9.3%. Seventeen patients scored between 69 and 77 with actual and predicted mortality of 0% and 4.1%. Three patients scored less than 69 with actual and predicted mortality of 0% and 2.4%. Ten patients scored > or = 3 on the HI with actual and predicted mortality of 10% and 100%, respectively. Twenty-four patients scored 2 with actual and predicted mortality of 4.2% and 55%. Twenty-seven patients scored 1 with actual and predicted mortality of 0% and 28%, respectively. Ten patients scored 0 with actual and predicted mortality of 0% and 16%, respectively. The chi(2) test showed extremely significant p value of 0.0001 in case of HI, and p value of 0.0800 for GAS, slightly less significant, probably due to the small sample size. CONCLUSION: Contrary to their role in ruptured and open aortic aneurysm repair, GAS and HI overestimate both mortality and morbidity following EVAR and are poor predictors of outcome

Type:Article
Title:Applicability of Glasgow Aneurysm Score and Hardman Index to elective endovascular abdominal aortic aneurysm repair
Additional information:DA - 20070503IS - 1015-9584 (Print)LA - engPT - Journal ArticleSB - IM
Keywords:Age Factors, Aged, Angioplasty, Aortic Aneurysm, Abdominal, surgery, Female, Health Status Indicators, Humans, Male, Predictive Value of Tests, Retrospective Studies, Surgical Procedures, Elective, Treatment Outcome
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Surgery and Interventional Science (Division of)

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