Wegerif, J.I.L. (2014) Screening op het aneurysma aortae abdominalis: hoge prevalentie bij patiënten met verdenking op perifeer arterieel vaatlijden. thesis, Medicine.
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Abstract
Objectives: Screening of abdominal aortic aneurysm (AAA) has proved to be effective to reduce mortality from AAA rupture in men aged 65-79. We report the results of a screening program including all patients suspected of peripheral arterial disease (PAD) referred to the vascular surgeon. Methods: From january 2008 to december 2012 1956 patients were suspected of PAD and referred to a vascular surgeon in the Martini ziekenhuis in Groningen. Their duplex results and patient characteristics are collected in a database. Results: After exclusion 1697 (971 man and 726 woman) patients were successfully screened with duplex for AAA. The average age was 68 years. The prevalence of AAA was 7,0%. For man the prevalence was 9,9% and for woman 3,4%. The prevalence of AAA was 7,7% among patients with PAD and 4,8% among patients without PAD. Male sex, higher age and smoking had an independent positive influence on the variability and the prevalence of AAA in a multivariate analysis. Insulin use has got a significant protective influence on the development of AAA. Conclusion: The prevalence of AAA is higher among patients with suspected PAD. This is caused by a higher percentage of risk factors in this cohort. Screening of AAA should be considered in some patients within this population.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Breek, dr. J.C. and Glade, drs. G.J. and Keller, dr. B.P.J.A. |
| Supervisor name: | Krol, drs. R.M. and Martiniziekenhuis |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:55 |
| Last Modified: | 25 Jun 2020 10:55 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1543 |
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