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This 10-year retrospective, multicenter study based on the French National electronic health data included patients undergoing AAA repair between 2010 and 2019. In-hospital post-operative mortality was analyzed using Kaplan\u2013Meier curve survival and Log-Rank tests. A multivariate regression analysis was performed to calculate Hazard Ratios. Over 79,935 patients who underwent AAA repair, 61,146 patients (76.5%) had at least one hospital-readmission after the AAA repair, for a mean follow-up of 3.5 \u00b1 2.5\u00a0years. Total in-hospital mortality over the 10-year study was 16,986 (21.3%) and 4581 deaths (5.8%) occurred during the first hospital stay for AAA repair. Age over 64\u00a0years old, the presence of AAA rupture and hospital readmission at 30-day were predictors of post-operative mortality (AdjHR\u2009=\u20091.59 CI 95% 1.51\u20131.67; AdjHR\u2009=\u20091.49 CI 95% 1.36\u20131.62 and AdjHR\u2009=\u20091.92, CI 95% 1.84\u20132.00). The prevalence of diabetes was significantly lower in ruptured AAA compared to unruptured AAA (14.8% vs 20.9%, P\u2009&lt;\u20090.001 for type 2 diabetes and 2.5% vs 4.0%, P\u2009&lt;\u20090.001 for type 1 diabetes). Type 1 diabetes was significantly associated with post-operative mortality (AdjHR\u2009=\u20091.30 CI 95% 1.20\u20131.40). For type 2 diabetes, the association was not statistically significant (Adj HR\u2009=\u20090.96, CI 95% 0.92\u20131.01). Older age, AAA rupture and hospital readmission were associated with deaths that occurred after discharge from the first AAA repair. Type 1 diabetes was identified as a risk factor of post-operative mortality. This study highlights the complex association between diabetes and AAA and should encourage institutions to report long-term follow-up after AAA repair to better understand its impact.<\/jats:p>","DOI":"10.1038\/s41598-021-98893-x","type":"journal-article","created":{"date-parts":[[2021,9,29]],"date-time":"2021-09-29T10:25:07Z","timestamp":1632911107000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Nationwide study in France investigating the impact of diabetes on mortality in patients undergoing abdominal aortic aneurysm repair"],"prefix":"10.1038","volume":"11","author":[{"given":"Juliette","family":"Raffort","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabien","family":"Lareyre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roxane","family":"Fabre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziad","family":"Mallat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Pradier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Bailly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,9,29]]},"reference":[{"key":"98893_CR1","doi-asserted-by":"publisher","first-page":"1957","DOI":"10.1161\/CIRCULATIONAHA.118.035408","volume":"139","author":"K Pahigiannis","year":"2019","unstructured":"Pahigiannis, K. et al. 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