ArticleEuropean heart journal2025
Sex-specific differences in alive hospital discharge following infrarenal abdominal aortic aneurysm repair.
Article in European heart journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Emerging Mechanisms of Abdominal Aortic Aneurysm.Current atherosclerosis reports · 2026Review
- Decreasing aortic diameter and decreasing prevalence of infrarenal aortic aneurysms in a population-based screening programme.The British journal of surgery · 2025Article
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Authors and funding
8 authors.
Funding
Abstract
BACKGROUND AND
aimsA longer time to alive hospital discharge following infrarenal abdominal aortic aneurysm (AAA) repair is associated with reduced patient satisfaction and increased length of stay, hospital-acquired deconditioning, infection, and costs. This study investigated sex-specific differences in, and drivers of, the rate of alive hospital discharge.
methodsExamination of UK National Vascular Registry (UK NVR), 2014-19, and Swedish National Patient Registry (SE NPR) elective AAA patients, 2010-18, for endovascular (EVAR) or open aneurysm repair (OAR). Cox models assessed sex-specific difference in the rate of alive hospital discharge, adjusting for co-morbidity, anatomy, standard of care, post-operative complications, and year, with in-hospital death as the competing risk.
resultsA total of 29 751 AAA repairs (UK NVR: EVAR 12 518:1532; OAR 6803:837; SE NPR: EVAR 4234:792; OAR 2638:497, men:women) were assessed. For EVAR, the unadjusted rate of alive hospital discharge was ∼25% lower for women [UK NVR: hazard ratio (HR) 0.75 (0.71-0.80), P < .001; SE NPR: HR 0.75 (0.69-0.81), P < .001]. Following adjustment, the sex-specific HR narrowed but remained significant [UK NVR: HR 0.83 (0.79-0.88), P < .001; SE NPR: HR 0.83 (0.76-0.89), P < .001]. For OAR, the rate of alive hospital discharge was 23%-27% lower for women [UK NVR: HR 0.73 (0.67-0.78), P < .001; SE NPR: HR 0.77 (0.70-0.85), P < .001]. Following adjustment, the sex-specific HR narrowed [UK NVR: HR 0.82 (0.76-0.88), P < .001; SE NPR: HR 0.79 (0.72-0.88), P < .001] but remained significant.
conclusionsWomen have a 25% lower rate of alive discharge after aortic surgery, despite adjustment for pre/peri- and post-operative parameters. Efforts to increase the rate of alive hospital discharge for women should be sought.
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