| Title: |
Outcome analysis of the surgical team in open surgical repair of intact abdominal aortic aneurysm surgery |
| Authors: |
Piffaretti, Gabriele; Zammito, Alessandro; Guzzetti, Luca; Selmo, Gabriele; Binda, Simone; D’Onofrio, Dunia; Tozzi, Matteo; Franchin, Marco |
| Source: |
European Journal of Cardio-Thoracic Surgery ; volume 66, issue 3 ; ISSN 1873-734X |
| Publisher Information: |
Oxford University Press (OUP) |
| Publication Year: |
2024 |
| Description: |
OBJECTIVES To analyze how the experience of the surgical team went to impact the outcomes after open surgical repair (OSR) of intact abdominal aortic aneurysms (AAAs). METHODS This is a single-center, observational cohort study with retrospective analysis of all OR for intact AAA performed between 1 January 2010 and 31 December 2022. The primary outcome was survival at 30 days and in follow-up, and a composite outcome of mortality and major complication. The secondary outcome was freedom from aorta-related reintervention. All outcomes were stratified according to the experience of the operating team (surgeons and anesthesiology). RESULTS We analyzed 103 (7.2%) patients: 97 (94.2%) males and 6 (5.8%) females. The mean age was 76 ± 8 years (range, 55–93). The best possible team composition was present in 52 (50.5%) interventions. The follow-up index was 0.82 ± 0.18 (range, 0.6–1.0). Mean follow-up duration was 59 ± 43 months (range, 0–158). We observed no differences between teams in major complications (best, 17.3% vs mixed, 21.6%; OR: 0.4, P = 0.622), 30 days mortality (best, 0% vs mixed, 5.9%; OR: 7.6, P = 0.118) and composite outcome (best, 11.5% vs mixed, 17.6%; OR: 0.8, P = 0.416). Cox regression analysis identified the best possible team as a protective factor against the need for reintervention (hazard ratio: 0.2; 95% confidence interval: 0.06–0.88, P = 0.032). CONCLUSIONS In our experience, OR of AAA yielded satisfactory results in terms of safety and efficacy independently of the team’s experience. A more experienced team may protect against aorta-related reintervention. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1093/ejcts/ezae319 |
| DOI: |
10.1093/ejcts/ezae319/58922832/ezae319.pdf |
| Availability: |
https://doi.org/10.1093/ejcts/ezae319; https://academic.oup.com/ejcts/advance-article-pdf/doi/10.1093/ejcts/ezae319/58922832/ezae319.pdf; https://academic.oup.com/ejcts/article-pdf/66/3/ezae319/59068216/ezae319.pdf |
| Rights: |
https://creativecommons.org/licenses/by-nc/4.0/ |
| Accession Number: |
edsbas.60844405 |
| Database: |
BASE |