{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T22:44:46Z","timestamp":1783637086926,"version":"3.55.0"},"reference-count":43,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2013,1,30]],"date-time":"2013-01-30T00:00:00Z","timestamp":1359504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Rural and regional populations suffer higher rates of preventable disease and all\u2010cause mortality than urban areas, with rural areas of the <jats:styled-content style=\"fixed-case\">USA<\/jats:styled-content> experiencing double the rate of ruptured abdominal aortic aneurysms (<jats:styled-content style=\"fixed-case\">AAAs<\/jats:styled-content>). We investigated the incidence and outcomes of ruptured <jats:styled-content style=\"fixed-case\">AAAs<\/jats:styled-content> in an <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralian rural and regional setting, and compared these with those of an urban population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We undertook a retrospective analysis of all patients suffering <jats:styled-content style=\"fixed-case\">AAA<\/jats:styled-content> rupture in <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>ew <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>outh <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>ales (<jats:styled-content style=\"fixed-case\">NSW<\/jats:styled-content>) from 2009\/2010 to 2010\/2011. Variables included rates of rupture, mortality and intensive care admission. Urban and rural\u2013regional areas were stratified according to <jats:styled-content style=\"fixed-case\">NSW H<\/jats:styled-content>ealth <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ocal <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ealth <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>istricts, and comparisons between the two groups were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ruptured <jats:styled-content style=\"fixed-case\">AAAs<\/jats:styled-content> had an incidence of 4.1\/100\u2009000, with males twice as likely to suffer <jats:styled-content style=\"fixed-case\">AAA<\/jats:styled-content> rupture (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> = 0.009), but females 88% more likely to die from rupture (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> = 0.001). There was no significant difference between <jats:styled-content style=\"fixed-case\">AAA<\/jats:styled-content> rupture rates (5.0 versus 3.4 per 100\u2009000; <jats:italic>P<\/jats:italic> = 0.054) nor case\u2010fatality rates (41.22% versus 40.94%; <jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> = 0.087) in rural\u2013regional and urban populations. Patients in urban areas had a longer hospital stay (5 days versus 1 day, <jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> = 0.001), were more likely to be admitted to intensive care unit (29.4% versus 19.9%, <jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> = 0.001) and were less likely to be transferred to another hospital (19% versus 32%, <jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> = 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">AAA<\/jats:styled-content> ruptures remain a significant public health burden. Rural and regional areas suffer disproportionately, which may be improved by implementation of <jats:styled-content style=\"fixed-case\">AAA<\/jats:styled-content> screening and funding for rural and regional hospitals to sustain adequate surgical and intensive care facilities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.12080","type":"journal-article","created":{"date-parts":[[2013,1,30]],"date-time":"2013-01-30T10:23:04Z","timestamp":1359541384000},"page":"838-843","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Incidence and outcomes of ruptured abdominal aortic aneurysms in rural and urban <scp>A<\/scp>ustralia"],"prefix":"10.1111","volume":"83","author":[{"given":"Timothy","family":"Shiraev","sequence":"first","affiliation":[{"name":"University of Notre Dame  Sydney New South Wales Australia"},{"name":"St John of God Hospital  Ballarat Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael G.","family":"Condous","sequence":"additional","affiliation":[{"name":"Ballarat Base Hospital  Ballarat Victoria Australia"},{"name":"St John of God Hospital  Ballarat Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,1,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMct0707524"},{"key":"e_1_2_6_3_1","volume-title":"Robbins and Cotran Pathologic Basis of Disease","author":"Kumar V","year":"2005"},{"key":"e_1_2_6_4_1","unstructured":"Melbourne Vascular Surgery Quality Initiative.Vascular surgery in Victorian public hospitals 2007\/2008.Report to the Public.2008 p.28."},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003319708318380"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(95)91436-6"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7461"},{"key":"e_1_2_6_8_1","volume-title":"Principles and Practice of Surgery","author":"Garden O","year":"2007"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588411X569406"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.22.2968"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70018-2"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1067\/mva.1993.42107"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2002.02122.x"},{"key":"e_1_2_6_14_1","unstructured":"Australian and New Zealand Society for Vascular Surgery.Australasian Vascular Audit Report 2011.2011. 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