scholarly journals Potential role of finite element model of abdominal aortic aneurysm in clinical decision making

2015 ◽  
Vol 66 (2) ◽  
pp. 61-68
Author(s):  
Suncica Popovic
Vascular ◽  
2014 ◽  
Vol 23 (2) ◽  
pp. 120-123 ◽  
Author(s):  
Anıl Özen ◽  
Ertekin Utku Unal ◽  
Serkan Mola ◽  
Ibrahim Erkengel ◽  
Erman Kiris ◽  
...  

Objective To assess the ability of Glasgow Aneurysm Score in predicting postoperative mortality for ruptured aortic aneurysm which may assist in decision making regarding the open surgical repair of an individual patient. Methods A total of 121 patients diagnosed of ruptured abdominal aortic aneurysm who underwent open surgery in our hospital between 1999 and 2013 were included. The Glasgow Aneurysm Score for each patient was graded according to the Glasgow Aneurysm Score (Glasgow Aneurysm Score = age in years + 17 for shock + 7 for myocardial disease + 10 for cerebrovascular disease + 14 for renal disease). The groups were divided as Group 1 (containing the patients who died) and Group 2 (the patients who were discharged). The Glasgow Aneurysm Scores amongst the groups were compared. Results Out of 121 patients, 108 (89.3%) were males and 13 (10.7%) were females. The in-hospital mortality was 48 patients (39.7%). The Glasgow Aneurysm Score was 84.15 ± 15.94 in Group 1 and 75.14 ± 14.67 in Group 2 which revealed significance ( p = 0.002). The most appropriate cut-off value for Glasgow Aneurysm Score was determined as 78.5 (AUC = 0.669, p = 0.002, sensitivity: 64.6%, specificity: 60.3%). Glasgow Aneurysm Score value above 78.5 is associated with almost threefold increase in mortality ( p = 0.007, OR:2.76, 95% CI 1.30–5.89). In further logistic regression models, Glasgow Aneurysm Score value and preoperative hematocrit values were found to be independent predictors for mortality ( p = 0.023 and p = 0.007, respectively). Conclusion Glasgow Aneurysm Score may have a predictive value for outcome of patients with ruptured abdominal aortic aneurysm undergoing open surgical procedure and it appears to be a useful tool in clinical decision-making of an individual patient when integrated with clinical experience.


2007 ◽  
Vol 14 (4) ◽  
pp. 536-540 ◽  
Author(s):  
Annette F. Baas ◽  
Diederick E. Grobbee ◽  
Jan D. Blankensteijn

Purpose: To report a retrospective study into the effects of trials on clinical decision-making regarding abdominal aortic aneurysm (AAA) patients suitable for both conventional open (OR) and endovascular aneurysm repair (EVAR). Methods: A questionnaire was sent to 1400 Dutch surgeons and trainees. Interviewees had to choose between OR and EVAR for AAA patients with and without comorbidity. Specifically, their preferences before and after the publication of 2 randomized trials (EVAR-1 and DREAM) were polled. Results: Of the 524 (37%) questionnaires returned, 223 (43%) respondents treated AAA patients. Before publication of the trials, 160 (72%) preferred OR for the patient without comorbidity and 169 (76%) preferred EVAR for the patient with comorbidity. In total, 72 (32%) respondents changed their preference after the trials were published; however, there was no overall major shift. Focusing on the different cases revealed that the OR preference was significantly enhanced for the patient without comorbidity (p<0.01), while the EVAR preference was significantly enhanced for the patient with comorbidity (p<0.05). Conclusion: The randomized trials have not induced major overall changes in surgical decision-making for AAA patients suitable for both EVAR and OR.


Circulation ◽  
2004 ◽  
Vol 110 (23) ◽  
Author(s):  
Mohammed Al-Omran ◽  
Subodh Verma ◽  
Thomas F. Lindsay ◽  
Richard D. Weisel ◽  
Yaron Sternbach

2021 ◽  
pp. 1192-1199
Author(s):  
Gianluca Mauri ◽  
Erika Durinikova ◽  
Alessio Amatu ◽  
Federica Tosi ◽  
Andrea Cassingena ◽  
...  

2013 ◽  
Vol 228 (2) ◽  
pp. 295-305 ◽  
Author(s):  
Smriti Murali Krishna ◽  
Anthony Dear ◽  
Jeffrey M. Craig ◽  
Paul E. Norman ◽  
Jonathan Golledge

Author(s):  
C.W. van Staden ◽  
K. W. M. Fulford

This chapter shows how a particular kind of meeting, called in isiZulu the indaba, contributes toBatho Pele, an African values-based practice. First, it explores the challenge of values diversity, including what it means to respect diversity of values, and the different responses to the challenge from regulatory ethics and from values-based practice. It then explores the challenge of diversity in an African context through the story of a real (though biographically disguised) person, Ms. Precious Pelo, her family members and clinicians. Ms. Pelo’s story shows the need for substantive (process-focused) rather than merely executive (outcomes-focused) communicative processes in responding to the challenge of values diversity in clinical decision-making. Finally, it describes part of an indaba convened for Ms. Pelo, its opening minutes illustrating many of the key features ofBatho Pele. We conclude with an indication of the potential role of indabas in other areas of values-based practice.


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