{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T15:40:11Z","timestamp":1791819611923,"version":"4.3.4"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2016,8,10]],"date-time":"2016-08-10T00:00:00Z","timestamp":1470787200000},"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":[[2016,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The incidence of abdominal aortic aneurysms (AAAs) and their rupture has been reported to be decreasing. The aim was to evaluate trends in ruptured AAA (rAAA) incidence in the hospital district of Helsinki and Uusimaa (HUS) in southern Finland. This was a population-based retrospective review of all patients with rAAA in this well defined geographical area during 2003\u20132013.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Data for all patients treated for rAAA at Helsinki University Hospital, the only vascular surgery centre in an area of 1\u00b75 million inhabitants, were collected from local vascular registry. All deaths attributed to rAAA were obtained from the cause of death registry of Statistics Finland.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The mean(s.d.) age of the 712 patients with rAAA was 76\u00b75(9\u00b76) years; 76\u00b77 per cent of them were men. Only 330 patients (46\u00b73 per cent of those with rAAA) arrived alive at Helsinki University Hospital. The turn-down rate for surgical treatment was 10\u00b73 per cent. Of the 296 patients operated on, 199 (67\u00b72 per cent) were alive at 30 days. Only 27\u00b79 per cent of all patients were alive 30 days after rupture of the AAA. The incidence of rAAA was 4\u00b73 per 100 000 inhabitants and the mortality rate was 3\u00b72 per 100 000 inhabitants. A decreasing trend was seen in incidence and mortality during the 11-year study interval.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The incidence of rAAA is decreasing in the HUS district. Mortality from rAAA remains very high, because half of the patients die before reaching the hospital.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.10200","type":"journal-article","created":{"date-parts":[[2016,8,10]],"date-time":"2016-08-10T12:56:09Z","timestamp":1470833769000},"page":"1634-1639","source":"Crossref","is-referenced-by-count":50,"title":["Population-based study of ruptured abdominal aortic aneurysm"],"prefix":"10.1093","volume":"103","author":[{"given":"M T","family":"Laine","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S J","family":"Laukontaus","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I","family":"Kantonen","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Venermo","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2016,8,10]]},"reference":[{"key":"2021022312582936500_bjs10200-bib-0001","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.gheart.2013.12.009","article-title":"Estimation of global and regional incidence and prevalence of abdominal aortic aneurysms 1990 to 2010","volume":"9","author":"Sampson","year":"2014","journal-title":"Glob Heart"},{"key":"2021022312582936500_bjs10200-bib-0002","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1161\/CIRCULATIONAHA.113.005457","article-title":"Aneurysm global epidemiology study: public health measures can further reduce abdominal aortic aneurysm mortality","volume":"129","author":"Sidloff","year":"2014","journal-title":"Circulation"},{"key":"2021022312582936500_bjs10200-bib-0003","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.jvs.2015.08.091","article-title":"Screening results from a large United Kingdom abdominal aortic aneurysm screening center in the context of optimizing United Kingdom National Abdominal Aortic Aneurysm Screening Programme protocols","volume":"63","author":"Benson","year":"2016","journal-title":"J Vasc Surg"},{"key":"2021022312582936500_bjs10200-bib-0004","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1161\/CIRCULATIONAHA.111.030379","article-title":"Low prevalence of abdominal aortic aneurysm among 65-year-old Swedish men indicates a change in the epidemiology of the disease","volume":"124","author":"Svensj\u00f6","year":"2011","journal-title":"Circulation"},{"key":"2021022312582936500_bjs10200-bib-0005","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1002\/bjs.7495","article-title":"Doubts and dilemmas over abdominal aortic aneurysm","volume":"98","author":"Earnshaw","year":"2011","journal-title":"Br J Surg"},{"key":"2021022312582936500_bjs10200-bib-0006","doi-asserted-by":"crossref","first-page":"e001926","DOI":"10.1161\/JAHA.115.001926","article-title":"Oxford Vascular Study. 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