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The Glasgow Aneurysm Score as a tool to predict 30-day and 2-year mortality in the patients from the Dutch Randomized Endovascular Aneurysm Management trial

Baas, A. F., Janssen, K. J. M., Prinssen, M., Buskens, E. & Blankensteijn, J. D., 2008, In : Journal of Vascular Surgery. 47, 2, p. 277-281 5 p.

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  • A.F. Baas
  • K.J.M. Janssen
  • M. Prinssen
  • E. Buskens
  • J.D. Blankensteijn
Abstract: Objective: Randomized trials have shown that endovascular repair (EVAR) of an abdominal aortic aneurysm (AAA) has a lower perioperative mortality than conventional open repair (OR). However, this initial survival advantage disappears after 1 year. To make EVAR cost-effective, patient selection should be improved. The Glasgow Aneurysm Score (GAS) estimates preoperative risk profiles that predict perioperative outcomes after OR It was recently shown to predict perioperative and long-term mortality after EVAR as well. Here, we applied the GAS to patients from the Dutch Randomized Endovascular Aneurysm Repair (DREAM) trial and compared the applicability of the GAS between open repair and EVAR Methods: A multicenter, randomized trial was conducted to compare OR with EVAR in 345 AAA patients. The GAS was calculated (age + [7 points for myocardial disease] + [10 points for cerebrovascular disease] + [14 points for renal disease]). Optimal cutoff values were determined, and test characteristics for 30-day and 2-year mortality were computed. Results: The mean GAS was 74.7 +/- 9.3 for OR patients and 75.9 +/- 9.7 for EVAR patients. Two EVAR patients and eight OR patients died
Original languageEnglish
Pages (from-to)277-281
Number of pages5
JournalJournal of Vascular Surgery
Volume47
Issue number2
Publication statusPublished - 2008

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