Aortic & peripheral vascular disease
Sex-specific differences in alive hospital discharge following infrarenal abdominal aortic aneurysm repair
Authors' conclusion
Women have a 25% lower rate of alive discharge after aortic surgery, despite adjustment for pre/peri- and post-operative parameters.
Study context
- Population
- Elective infrarenal abdominal aortic aneurysm (AAA) repair (endovascular (EVAR) or open aneurysm repair (OAR)), UK NVR 2014–19 and SE NPR 2010–18
- Participants
- 29,751 AAA repairs
- Exposure
- Women vs men
- Outcome
- Rate of alive hospital discharge
Methodological detailsregistry-based, UK NVR and SE NPR, competing risk (in-hospital death)
- Registry-based
- UK NVR and SE NPR
- Competing risk (in-hospital death)
Main finding
As reported in the abstract
Alive hospital discharge
Women vs MenHazard ratio (CI)P value
EVAR, UK NVR, unadjusted
0.75(0.71–0.80)
P < 0.001EVAR, SE NPR, unadjusted
0.75(0.69–0.81)
P < 0.001EVAR, UK NVR, adjusted
0.83(0.79–0.88)
P < 0.001EVAR, SE NPR, adjusted
0.83(0.76–0.89)
P < 0.001OAR, UK NVR, unadjusted
0.73(0.67–0.78)
P < 0.001OAR, SE NPR, unadjusted
0.77(0.70–0.85)
P < 0.001OAR, UK NVR, adjusted
0.82(0.76–0.88)
P < 0.001OAR, SE NPR, adjusted
0.79(0.72–0.88)
P < 0.001Observational data: associations, not effects.
Original publication
Sex-specific differences in alive hospital discharge following infrarenal abdominal aortic aneurysm repair. Eur Heart J. Published 24 September 2024. doi:10.
Summarised from the published abstract; every number is checked against it