Aortic & peripheral vascular diseaseCohort study

Sex-specific differences in alive hospital discharge following infrarenal abdominal aortic aneurysm repair

Eur Heart JPublished

  • Retrospective cohort study
  • registry-based
  • UK NVR and SE NPR
  • competing risk (in-hospital death)

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

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 < 0.001
EVAR, SE NPR, unadjusted
0.75(0.69–0.81)
P < 0.001
EVAR, UK NVR, adjusted
0.83(0.79–0.88)
P < 0.001
EVAR, SE NPR, adjusted
0.83(0.76–0.89)
P < 0.001
OAR, UK NVR, unadjusted
0.73(0.67–0.78)
P < 0.001
OAR, SE NPR, unadjusted
0.77(0.70–0.85)
P < 0.001
OAR, UK NVR, adjusted
0.82(0.76–0.88)
P < 0.001
OAR, SE NPR, adjusted
0.79(0.72–0.88)
P < 0.001

Observational 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:10.1093/eurheartj/ehae675

Summarised from the published abstract; every number is checked against it