{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:19:55Z","timestamp":1787318395812,"version":"build-2736575974"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2016,1,20]],"date-time":"2016-01-20T00:00:00Z","timestamp":1453248000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,1,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Concern has been raised regarding international discrepancies in perioperative mortality after repair of ruptured abdominal aortic aneurysm (rAAA). The variation in in-hospital mortality is difficult to interpret, owing to international differences in discharge strategies. This study compared 90-day and 5-year mortality in patients who had a rAAA in England and Sweden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients undergoing rAAA repair were identified from English Hospital Episode Statistics and the Swedish Vascular Registry (Swedvasc) between 2003 and 2012. Ninety-day and 5-year mortality were compared after matching for age and sex. Within-country analyses examined the impact of co-morbidity, teaching hospital status or hospital annual caseload, adjusted with causal inference techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Some 12 467 patients underwent rAAA repair in England, of whom 83\u00b72 per cent were men; the median (i.q.r.) age was 75 (70\u201380) years. A total of 2829 Swedish patients underwent rAAA repair, of whom 81\u00b73 per cent were men; their median (i.q.r.) age was 75 (69\u201380) years. The 90-day mortality rate was worse in England (44\u00b70 per cent versus 33\u00b74 per cent in Sweden; P &amp;lt; 0\u00b7001), as was 5-year mortality (freedom from mortality 38\u00b76 versus 46\u00b73 per cent respectively; P &amp;lt; 0\u00b7001). In England, lower mortality was seen in teaching hospitals with larger bed capacity, higher annual caseloads and greater use of endovascular aneurysm repair (EVAR). In Sweden, lower mortality was associated with EVAR, high annual caseload, or surgery on weekdays compared with weekends.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Short- and long-term mortality after rAAA repair was higher in England. In both countries, mortality was lowest in centres performing greater numbers of AAA repairs per annum, and more EVAR procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bjs.10049","type":"journal-article","created":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T07:22:42Z","timestamp":1448954562000},"page":"199-206","source":"Crossref","is-referenced-by-count":35,"title":["Comparison of long-term mortality after ruptured abdominal aortic aneurysm in England and Sweden"],"prefix":"10.1093","volume":"103","author":[{"given":"A","family":"Karthikesalingam","sequence":"first","affiliation":[{"name":"St George's Vascular Institute, St George's University of London and St George's University Hospitals NHS Foundation Trust , London,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Wanhainen","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University , Uppsala,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P J","family":"Holt","sequence":"additional","affiliation":[{"name":"St George's Vascular Institute, St George's University of London and St George's University Hospitals NHS Foundation Trust , London,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Vidal-Diez","sequence":"additional","affiliation":[{"name":"St George's Vascular Institute, St George's University of London and St George's University Hospitals NHS Foundation Trust , London,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J R W","family":"Brownrigg","sequence":"additional","affiliation":[{"name":"St George's Vascular Institute, St George's University of London and St George's University Hospitals NHS Foundation Trust , 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