OBJECTIVES: The purpose of this study was to identify predictors of decreased survival after open @entity1028 ( @entity1028 ) repair at a single university hospital. METHODS: @entity1 undergoing open @entity1028 repair from June 2003 to June 2009 were identified. Primary outcomes were 30-day and 5-year survival. Preoperative, intraoperative, and postoperative variables were assessed for their influence on outcomes using univariate and multivariate analysis, as appropriate. One- and 5-year survival were determined by Kaplan-Meier analysis. RESULTS: Four hundred eight @entity1 (289 @entity1 ; 70.8%) with a mean age of 72.4    8.3 years underwent open @entity1028 repair. Sixty-seven @entity1 (16.4%) underwent nonelective repair. The clamp site was infrarenal in 137 @entity1 (33.6%), suprarenal in 97 @entity1 (23.8%), and supraceliac in 174 @entity1 (42.6%). Thirty-day survival was 95.6%. One- and 5-year survival were 90.0%    1.5% and 65.1%    3.0%, respectively. Seventy-nine @entity1 (19.4%) had decreased renal function postoperatively compared to preoperatively, 71 @entity1 (17.4%) sustained @entity299 , and 45 @entity1 (11.0%) sustained @entity358 . @entity1 with @entity1030 (91.9% vs 97.2%; P = .004) and @entity740 (92.0% vs 98.3%; P = .009) had decreased 30-day survival. @entity1 with @entity1030 (55.8%    5.8% vs 67.3%    3.6%; P = .013), @entity740 (51.2%    5.2% vs 72.8%    3.7%; P = .043), and @entity66 (46.8%    7.4% vs 67.4%    3.4%; P = .003) had decreased 5-year survival. @entity1 who had decreased postoperative renal function (41.0%    7.4% vs 72.2%    3.4%; P = .004), and @entity1 who sustained @entity358 (45.6%    8.8% vs 66.3%    3.3%; P = .042) had worse 5-year survival. CONCLUSIONS: Open @entity1028 repair can be done with low morbidity and mortality in the era of @entity439 repair. Careful consideration should be given to preoperative optimization and perioperative care in @entity1 with @entity1030 , @entity740 , and @entity66 . Postoperative decrease in renal function and @entity358 portend decreased 5-year survival; strategies to ameliorate these factors should be sought.

Predictors of decreased short- and long-term survival following open XXXX repair.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'men'] @entity66 :: ('MESH:D004194', 'Disease') :: ['cerebrovascular disease'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac complications'] @entity740 :: ('MESH:D051436', 'Disease') :: ['chronic renal insufficiency'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary complications', 'pulmonary complication'] @entity439 :: ('MESH:D000783', 'Disease') :: ['endovascular aneurysm'] @entity1030 :: ('MESH:D029424', 'Disease') :: ['chronic obstructive pulmonary disease'] @entity1028 :: ('MESH:D017544', 'Disease') :: ['abdominal aortic aneurysm', 'AAA']
@entity1028 :: (MESH:D017544,Disease) :: ['abdominal aortic aneurysm']
