Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 8546,
    "title": "Case Series of Patients with Ruptured  Abdominal Aortic Aneurysm",
    "subtitle": null,
    "abstract": "Introduction:\n Traditionally, patients with suspected ruptured abdominal aortic aneurysm (rAAA) are taken immediately for operative repair. Computed tomography (CT) has been considered contraindicated. However, with the emergence of endovascular repair, this approach to suspected rAAA could be changing.\nMethods: \nWe present retrospective data in a case series of 110 patients with rAAA. Patients were managed at a single tertiary medical center over a five-year period. At this site, there was an established multidisciplinary protocol in which patients with suspected rAAA undergo CT with consideration for endovascular aortic repair (EVAR).\nResults: \nOur results demonstrated a mortality of 30% with our institutional protocol for CT in suspected rAAA. Comparing patients who ultimately had EVAR with open repair, those able to have endovascular aneurysm repair (EVAR) had lower mortality, shorter hospital stays for survivors, and a greater likelihood of being discharged to home than those with open repair. While survivors were more likely to have had EVAR, surviving patients were younger, had a significantly lower creatinine at presentation, and required fewer blood transfusions than those who died.\nConclusion: \nBased on this case series, an institutional approach endorsing CT for presumed rAAA appears to be reasonable. Our results suggest that EVAR may be beneficial in appropriately-selected patients and that CT may potentially facilitate superior management options for patient care. [West J Emerg Med. 2015;16(3):367–371.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "abdominal aortic aneurysm, ruptured abdominal aortic aneurysm"
        }
    ],
    "section": "Treatment Protocol Assessment",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1f45k72z",
    "frozenauthors": [
        {
            "first_name": "Taylor",
            "middle_name": "",
            "last_name": "Spencer",
            "name_suffix": "",
            "institution": "Albany Medical Center, Department of Emergency Medicine, Albany, New York; West Virginia University Health Center, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Rushad",
            "middle_name": "",
            "last_name": "Juyia",
            "name_suffix": "",
            "institution": "Albany Medical Center, Department of Emergency Medicine, Albany, New York; West Virginia University Health Center, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Robyn",
            "middle_name": "",
            "last_name": "Parks",
            "name_suffix": "",
            "institution": "Albany Medical Center, Department of Emergency Medicine, Albany, New York; West Virginia University Health Center, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Matthew",
            "middle_name": "",
            "last_name": "Hodapp",
            "name_suffix": "",
            "institution": "Albany Medical Center, Department of Emergency Medicine, Albany, New York; West Virginia University Health Center, Morgantown, West Virginia",
            "department": "None"
        }
    ],
    "date_submitted": "2014-09-24T03:48:42Z",
    "date_accepted": "2014-09-24T03:48:42Z",
    "date_published": "2015-04-06T22:45:35Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/8546/galley/4926/download/"
        }
    ]
}