The risk factor profile is similar between patients with abdominal aortic aneurysm (AAA) and coronary heart disease (CHD). CHD is more common in the north of Sweden. It is unknown whether similar regional differences in the incidence of AAA exist. The aims of this study were to investigate whether there is a regional gradient of AAA incidence, and to compare time trends and the frequency of interventions between regions. Swedish citizens have a 12-digit personal identification number. The Swedish Hospital Discharge Register covers inpatient care (diagnosis, admission, procedure codes, sex, date of birth, county). Population size was obtained from the central statistical bureau. Regions were south, mid and north. All records for 1990–2005 were extracted and 35 418 individuals with AAA were identified (74·8 per cent men). The highest age-standardized incidence (102·7 per 100 000) was found in men in the north region. The age-adjusted incidence ratio for men in the north region compared with the south was 1·38 (95 per cent confidence interval 1·34 to 1·42). Similar differences were found in women: incidence ratio for north compared with south region 1·39 (1·07 to 1·81). The proportion treated was larger in men and varied by region: 46·9 per cent of men in the mid region compared with 43·7 per cent in the south received treatment (P < 0·001), whereas 29·8 per cent of women in the north region versus 25·4 per cent in the south had an intervention (P = 0·001). The incidence did not increase over time.The higher incidence of AAA in the north of Sweden corresponds well with reported CHD patterns. The incidence of AAA in the population did not increase significantly over time, in contrast to the increasing intervention rates.
Study contemporary treatment and outcome of abdominal aortic aneurysm (AAA) repair in nine countries. Design and methods: Data on primary AAA repairs 2005–2009 were amalgamated from national and regional vascular registries in Australia, Denmark, Finland, Hungary, Italy, Norway, Sweden, Switz...
Determine if a regional quality improvement effort can increase beta-blocker utilization prior to vascular surgery and decrease the incidence of postoperative myocardial infarction (POMI). A quality improvement effort to increase perioperative beta blocker utilization was implemented in 2003 ...
The infrarenal abdominal aorta exhibits increased disease susceptibility relative to other aortic regions. Allograft studies exchanging thoracic and abdominal segments showed that regional susceptibility is maintained regardless of location, suggesting substantial roles for embryological origin, ...
We sought to describe the regional, age, and sex distribution; diagnosis; treatment; and outcome of aortic aneurysms in a Kenyan population.This was a retrospective study at Kenyatta National Hospital, Kenya. Records of black African patients whose final diagnosis was aortic aneurysm over the per...
To evaluate the feasibility of a mobile screening service model for abdominal aortic aneurysm (AAA) in a remote population centre in Australia. Screening test evaluation. A remote regional centre (population: 20 000) in far western NSW.Participants: Men aged 65-74 years, identified from the Austr...
Highly variable utilization rates for a diverse group of surgical procedures are commonly ascribed to physician practice patterns rather than clinical considerations. A previous investigation by our group showed that variations in the rates of carotid endarterectomy (CEA) actually reflected regio...
The aim was to estimate long-term mortality benefits and cost-effectiveness of screening for abdominal aortic aneurysm (AAA) in men aged 64-73 years.All men aged 64-73 years living in Viborg County were randomized to be controls (n = 6306) or invited for abdominal ultrasonography at a regional ho...
Our objective was to determine whether regional visceral perfusion during neonatal aortic arch reconstruction attenuates postoperative acute kidney injury.A technique to provide simultaneous perfusion to the brain and viscera during aortic arch reconstruction in neonates was developed and applied...
Operative mortality of patients undergoing symptomatic abdominal aortic aneurysm (Sx-AAA) repair has been reported at 6% to 30% during the past 25 years. We used a multicenter regional database to describe the contemporary outcomes of patients undergoing repair of Sx-AAA.All patients undergoing i...
Recent studies have shown that the maximum transverse diameter of an abdominal aortic aneurysm (AAA) and expansion rate are not entirely reliable indicators of rupture potential. We hypothesize that aneurysm morphology and wall thickness are more predictive of rupture risk and can be the deciding...
