UNASSIGNED: @entity439 repair (EVAR) is an alternative treatment for @entity1755 ( @entity1755 ) in hemodynamically (hd) stable @entity1 . Treatment for @entity1 with hd-unstable @entity1755 remains controversial. The aim of this study was to compare the outcomes of EVAR and @entity1538 ( @entity1538 ) in hd-stable and hd-unstable @entity1755 @entity1 using meta-analysis. The first part of this study included 48 articles that reported the treatment outcomes of @entity1755 managed with EVAR (n  =  9610) and @entity1538 (n  =  93867). The second part, which is the focus of this study, included 5 out of 48 articles, which further reported treatment results in hd-stable (n  =  198) and hd-unstable (n  =  185) @entity1 . When heterogeneity among the groups was observed, a random-effects model was used to calculate the adjusted odds ratios (OR) or in cases of non-heterogeneity, a fixed-effects model analysis was employed. In the first part of this study, the in-hospital mortality rate was found to be lower in the EVAR group than in the @entity1538 group (29.9 vs 40.8  %; OR 0.59; 95  % CI 0.52-0.66; P  <  0.01). In the second part of this study, 383 @entity1 from 5 articles were included: 152 @entity1 were treated by EVAR, and 231 were treated by @entity1538 . The total mortality was 147/383 (38.4  %), while the mortality of the EVAR group and the @entity1538 group was 25.7  % (39/152) and 46.8  % (108/231), respectively. In the hd-stable group, the in-hospital mortality after EVAR was significantly lower than that after @entity1538 [18.9  % (18/95) vs 28.2  % (29/103); OR 0.47; 95  % CI 0.22-0.97; P  =  0.04]. For the hd-unstable @entity1755 @entity1 , the in-hospital mortality after EVAR was significantly lower than that after @entity1538 [36.8  % (21/57) vs 61.7  % (79/128); OR 0.40; 95  % CI 0.20-0.79; P  <  0.01]. This study indicated that compared with @entity1538 , EVAR in hd-unstable @entity1755 @entity1 is associated with improved outcomes. Available publications are currently limited; thus, the best treatment strategy for this subgroup of @entity1 remains unclear. Further clinical studies are needed to provide more detailed data, such as the shock index and long-term results.

Open surgery ( @entity1538 ) versus @entity439 repair (EVAR) for hemodynamically stable and unstable XXXX ( @entity1755 ).

@entity1 :: ('9606', 'Species') :: ['patients'] @entity439 :: ('MESH:D000783', 'Disease') :: ['Endovascular aneurysm'] @entity1538 :: ('MESH:D005902', 'Disease') :: ['open surgery', 'OS'] @entity1755 :: ('MESH:D001019', 'Disease') :: ['ruptured abdominal aortic aneurysms', 'rAAA']
@entity1755 :: (MESH:D001019,Disease) :: ['ruptured abdominal aortic aneurysm']
