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Epidural Better for AAA Repair; Sex After MI
Association of Sex With AAA Repair and Long-Term Mortality - American College of Cardiology
What is the association between sex with repair type and long-term mortality in adults with abdominal aortic aneurysm AAA? The data were analyzed from October 1, , to November 19, The main outcome measure was endovascular EVR or open surgical AAA repair type and subsequent long-term, all-cause mortality. The primary exposure was sex, and men served as the reference group. Authors used logistic regression to study sex-based differences based on the AAA repair type, with EVR repair serving as the reference treatment. Sex-based differences in long-term mortality were evaluated using Kaplan-Meier survival analysis, log-rank test, and Cox regression. In this cohort study of 16, patients, 12,
Risk of abdominal aortic aneurysm (AAA) among male and female relatives of AAA patients.
Adding an epidural to general anesthesia improved survival and fewer complications in elective, open abdominal aortic aneurysm AAA repair, a study reported in JAMA Surgery. In the retrospective analysis of 1, such patients in a prospectively-collected database, the The combination anesthesia group also had significantly lower odds of surgical reintervention at 30 days, postoperative bowel ischemia, pulmonary complications, and need for dialysis. An accompanying editorial questioned whether the epidural "was truly responsible for the decreased immediate postoperative complications because it is not possible to control for surgeon-related and hospital volume-related factors when using registry data alone.