{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T21:03:19Z","timestamp":1760043799022},"reference-count":7,"publisher":"Royal College of Surgeons of England","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec><jats:title>INTRODUCTION<\/jats:title><jats:p> Rupture of abdominal aortic aneurysm is a surgical emergency. In order to improve operative outcomes, vascular services have been centralised in the United Kingdom. This means that a patient may present to a hospital with a ruptured aneurysm, but require transfer to a vascular centre for definitive treatment. <\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p> This retrospective cohort study identified patients who underwent surgery for ruptured abdominal aortic aneurysm in a tertiary vascular centre over a 2-year period. Data on demographics and originating unit were recorded. Outcomes assessed included 30-day mortality, operative mortality and postoperative morbidity. <\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p> We identified 70 patients who underwent surgery for ruptured abdominal aortic aneurysm in the 2-year period; 36 presented directly to the vascular unit (VU), 14 to referral unit 1 (RU1) and 20 to referral unit 2 (RU2); 30-day mortality rates were 27.7% (VU), 35.5% (RU1) and 30.0% (RU2), respectively. There was no statistical difference in mortality between units. Postoperative complications were seen in 35.9% of VU patients, 78.6% of RU1 patients and 70% of RU2 patients. This was statistically significant between VU and RU1 (P = 0.006) and VU and RU2 (P = 0.02). Direct operative complications were seen in 9 patients, gastrointestinal complications in 9, limb complications in 6 and systemic complications in 40. <\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p> This study found that site of presentation does not affect mortality but is associated with increased morbidity. This is a complex issue, which will require a prospective multicentre study to investigate further. <\/jats:p><\/jats:sec>","DOI":"10.1308\/rcsann.2016.0231","type":"journal-article","created":{"date-parts":[[2016,8,11]],"date-time":"2016-08-11T15:41:40Z","timestamp":1470930100000},"page":"88-92","source":"Crossref","is-referenced-by-count":3,"title":["Outcomes of regional transfers of ruptured abdominal aortic aneurysm in a UK vascular network"],"prefix":"10.1308","volume":"99","author":[{"given":"VK","family":"Proctor","sequence":"first","affiliation":[{"name":"Sheffield Vascular Institute, Northern General Hospital, SheffieldUK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MJ","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Northern General Hospital, Sheffield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AH","family":"Nassef","sequence":"additional","affiliation":[{"name":"Sheffield Vascular Institute, Northern General Hospital, SheffieldUK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1007\/s10016-004-0160-0"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(96)80206-6"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.02.061"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9410"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1053\/ejvs.2000.1148"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800810108"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2013.01.013"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2016.0231","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:24:25Z","timestamp":1684146265000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2016.0231"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1308\/rcsann.2016.0231"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2016.0231","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}