Evidence map›Paper›PMID 34798809›Full record

ArticleBMC cardiovascular disorders2021

Glasgow Aneurysm Score: a predictor of long-term mortality following endovascular repair of abdominal aortic aneurysm?

Anıl Özen, Metin Yılmaz, Görkem Yiğit, İsa Civelek, Mehmet Ali Türkçü, Ferit Çetinkaya, Ertekin Utku Ünal, Hakkı Zafer İşcan

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Impact of stent materials and hemodynamic changes after endovascular aneurysm repair for abdominal aortic aneurysm.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Anıl ÖzenDepartment of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey. anil_ozen@hotmail.com.ORCID 0000-0002-4334-7974
Metin YılmazDepartment of Cardiovascular Surgery, VM Medicalpark Hospital, Ankara, Turkey.ORCID 0000-0003-2878-2676
Görkem YiğitDepartment of Cardiovascular Surgery, Yozgat City Hospital, Yozgat, Turkey.ORCID 0000-0002-9500-720X
İsa CivelekDepartment of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey.
Mehmet Ali TürkçüDepartment of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey.
Ferit ÇetinkayaDepartment of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey.
Ertekin Utku ÜnalDepartment of Cardiovascular Surgery, Hitit University Faculty of Medicine, Çorum, Turkey.ORCID 0000-0002-1144-8906
Hakkı Zafer İşcanDepartment of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey.ORCID 0000-0002-0749-5152
Memorial Ankara Hospital · TRDünyagöz Hospital · TRHitit Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the value of Glasgow Aneurysm Score (GAS) in predicting long-term mortality and survival in patients who have undergone endovascular aortic aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA).

methodsA retrospective single-center study of 257 patients with non-ruptured AAA undergoing EVAR between January 2013 and 2021. GAS scores were compared between the survivors (group 1) and the long-term mortality (group 2) groups. Cox regression analysis was used to determine independent predictors of late mortality. Receiver operating characteristic curve (ROC) analysis was used to determine the optimum cut-off values of GAS values to determine the effect on late-mortality. Survival analysis was conducted using Kaplan-Meier.

resultsThe study included 257 patients with a mean age of 69.75 ± 7.75 (46-92), who underwent EVAR due to AAA. Average follow up period was 18.98 ± 22.84 months (0-88). Fourty-five (17.8%) mortalities occured during long-term follow-up. A past medical history of cancer resulted in a 2.5 fold increase in risk of long-term mortality (OR: 2.52, 95% CI 1.10-5.76; p = 0.029). GAS values were higher in group 2 compared to group 1 (81.02 ± 10.33 vs. 73.73 ± 10.46; p < 0.001). The area under the ROC curve for GAS was 0.682 and the GAS cut-off value was 77.5 (specificity 64%, p < 0.001). The mortality rates in patients with GAS < 77.5 and GAS > 77.5 were: 12.8% and 24.8% respectively (p = 0.014). Every 10 point increase in GAS resulted in approximately a 2 fold increase in risk of long-term mortality (OR: 1.8, 95% CI 1.3-2.5; p < 0.001). Five year survival rates in patients with GAS < 77.5 and > 77.5 were 75.7% and 61.7%, respectively (p = 0.013).

conclusionsThe findings of our study suggests that an increase in GAS score may predict long-term mortality. In addition, the mortality rates in patients above the GAS cut-off value almost doubled compared to those below. Furthermore, the presence of a past history of cancer resulted in a 2.5 fold increase in long-term mortality risk. Addition of cancer to the GAS scoring system may be considered in future studies. Further studies are necessary to consolidate these findings.

Indexed as

Decision Support TechniquesAgedAged, 80 and overAortic Aneurysm, AbdominalBlood Vessel Prosthesis ImplantationEndovascular ProceduresFemaleHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeAnalysisAortic aneurysmEndovascularMortalityRisk assessmentSurvival

Identifiers

PMID34798809
PMCPMC8603579
OpenAlexW3196109167

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.