A STATISTICAL-ANALYSIS OF THE GROWTH OF SMALL ABDOMINAL AORTIC-ANEURYSMS

被引:27
作者
GRIMSHAW, GM
THOMPSON, JM
HAMER, JD
机构
[1] School of Health and Community Studies, University of Derby, Mickleover, Derby
[2] Department of Medical Physics and Biomedical-engineering, Queen Elizabeth Hospital, Edgbaston, Birmingham
[3] Department of Vascular Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham
来源
EUROPEAN JOURNAL OF VASCULAR SURGERY | 1994年 / 8卷 / 06期
关键词
ABDOMINAL AORTIC ANEURYSM; AORTIC SCREENING; ANEURYSM GROWTH;
D O I
10.1016/S0950-821X(05)80656-5
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Screening for abdominal aortic aneurysm has been offered to 13 000 patients. An overall compliance of 76% (range 51-99%) has been achieved. For those with an initial aortic diameter between 29 mm and 45 mm serial ultrasound scans are offered to monitor aortic change. Of the 302 cases followed up by repeated scans, 93 have had more than 5 scans (mean of 7 scans) over a mean time period of 32.1 months (range 15-63 months). The rate of change of all these aneurysms has been calculated using all data points and robust linear regression. It has been possible to postulate an algorithm for aortic growth. The influence of measurement precision and ultrasound quality assurance on the rescan interval is demonstrated and it is suggested that 2 years is a suitable rescan interval for aortas with diameter less than 40 mm.
引用
收藏
页码:741 / 746
页数:6
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