Critical Care

, 15:P504 | Cite as

Do scoring systems predict mortality following emergency abdominal aortic aneurysm repair? The Norwich experience

  • S Kumar
  • J Nortje
Poster presentation
  • 545 Downloads

Keywords

Mortality Rate National Average Aortic Aneurysm Large Dataset Abdominal Aortic Aneurysm 

Introduction

APACHE II scores [1] and Glasgow Aneurysm Scores (GAS) [2] are commonly used in ICUs to predict mortality. These scoring systems (scores α mortality), when applied to postoperative emergency open abdominal aortic aneurysm (AAA) repair patients, yield varying results. We applied these scoring systems to our patients to establish their predictive value in our clinical setting.

Methods

This retrospective audit included patients who underwent emergency open AAA repair and were admitted to our ICU, over a period of 1 year (November 2008 to November 2009). These patients were identified from our local ICU database (Metavision®) and scores (APACHE II and GAS) were calculated for each of these patients. The mortality rates were compared with the national average [3].

Results

A total of 98 AAA repair patients were identified, of whom 35 patients (32 males and three females) had undergone emergency (ruptured) repair. Seven patients (20%), including two females, died in the ICU. There is an increase in mortality with increasing APACHE II scores (Figure 1). The same does not apply for GAS scores but all the patients who died had a GAS score >89. Our mortality rate was 20% compared with the national mortality of 38% (Figure 2).
Figure 1

AAA mortality versus APACHE mortality.

Figure 2

AAA mortality NNUH versus UK.

Conclusions

APACHE II scores seem to be more predictive of our unit AAA mortality rates than GAS scores. We aim to apply these scores to a larger dataset and also determine possible reasons for improved survival.

References

  1. 1.
    Knaus WA, et al.: APACHE: a physiologically based classification system. Crit Care Med 1985, 13: 818-829.CrossRefPubMedGoogle Scholar
  2. 2.
    Samt AK, et al.: Glasgow aneurysm score. Cardiovasc Surg 1994, 2: 41-44.Google Scholar
  3. 3.

Copyright information

© Kumar and Nortje 2011

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Authors and Affiliations

  • S Kumar
    • 1
  • J Nortje
    • 1
  1. 1.Norfolk & Norwich University HospitalNorwichUK

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