BACKGROUND: The appropriate management of @entity1 who are older than 80 years of age and who present with an @entity1028 ( @entity1028 ) remains controversial. While it appears that elective repair can be performed safely, appropriate management of these @entity1 in the emergency situation is unclear. The purpose of the present study was to examine the results obtained in treating this elderly group in the elective and emergency setting, by operation and conservative techniques at St George Hospital, Kogarah. METHODS: Between January 1987 and December 1994 85 @entity1 older than 80 years of age were treated for @entity1028 . These @entity1 were divided into four groups: I, elective presentation/no surgery; II, elective presentation/elective surgical repair; III, emergency presentation/surgical repair; and IV, emergency presentation/conservative treatment. We examined age, sex, size of @entity1028 , mode of presentation, type of treatment, length of survival and cause of @entity204 . RESULTS: The mean age of the total group (n = 85) of @entity1 was 84 years (range: 80-94). The mean @entity1028 diameter for this group was 5.6 cm (95% CI: 5.2-6 cm). The diameters for group I (n = 40), II (n = 22), III (n = 16) and IV (n = 7) were 4.9 cm (4.4-5.5, 95% CI), 5.7 (4.9-6.5 CI), 7.0 (6.1-7.7 CI) and 6.2 (5.2-7.2 CI), respectively. The median survival for groups I, II, III and IV was 18, 38.5, 0.25 and 0 months, respectively. Group II had a longer survival than any other group (P = 0.015), and group IV had a shorter survival than the total group (P = 0.001). However, the length of survival was no different for III versus IV (P = 0.146). @entity204 in each group were due to the following reasons. I: cardiopulmonary events (14), @entity397 (3), @entity5 / @entity295 (3); II: cardiopulmonary events (3), @entity397 ( @entity439 ) (2), @entity5 (I); III: @entity397 (10), @entity5 (I); and (IV): @entity397 (6), @entity5 (1). CONCLUSIONS: Elective surgical repair offers the best management option for @entity1028 in @entity1 older than 80 years of age. @entity204 may still occur from progression of @entity439 at other sites. An aggressive surgical approach to the management of haemodynamically unstable @entity1 in this age group is of questionable benefit.

Treatment of XXXX in the 9th and 10th decades of life.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignancy'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity439 :: ('MESH:D000783', 'Disease') :: ['thoracic aneurysm', 'aneurysmal disease'] @entity204 :: ('MESH:D003643', 'Disease') :: ['Death', 'Deaths', 'death'] @entity1028 :: ('MESH:D017544', 'Disease') :: ['abdominal aortic aneurysm', 'AAA']
@entity1028 :: (MESH:D017544,Disease) :: ['abdominal aortic aneurysm disease']
