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학술저널
저자정보
최찬중 (Department of Surgery Seoul National University College of Medicine Seoul) Sanghyun Ahn (Department of Surgery Seoul National University College of Medicine Seoul) Sang-il Min (Department of Surgery Seoul National University College of Medicine Seoul) 안문상 (충남대학교) 하종원 (서울대학교) Hyung-Jin Yoon (Seoul National University College of Medicine Seoul Korea) Rina So (Seoul National University College of Medicine Seoul Korea) Sung Hyouk Choi (Seoul National University College of Medicine Seoul Korea) Seung-Kee Min (Department of Surgery Seoul National University College of Medicine Seoul)
저널정보
대한혈관외과학회 Vascular Specialist International Vascular Specialist International Vol.35 No.4
발행연도
2019.1
수록면
193 - 201 (9page)

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Purpose: The prevalence and treatment patterns of abdominal aortic aneurysm (AAA) vary according to ethnicity and region. This study analyzed nationwide data on the epidemiology, practice patterns, and mortality rates of AAA in Korea. Materials and Methods: Data from patients treated for AAA from 2012 to 2016 were extracted from the Korean Health Insurance Review and Assessment (HIRA) database. Results: A total of 30,766 patients in Korea had treatment codes for AAA and 2,618 patients were treated for ruptured AAA. Of the 6,356 patients treated surgically, 1,849 and 4,507 underwent open surgical aneurysmal repairs (OSAR) or endovascular aneurysmal repairs (EVAR), respectively. The number of surgical treatments performed annually for AAA increased from 1,129 cases in 2012 to 1,501 cases in 2016. The number of EVAR cases increased from 753 to 1,109 during these five years, while the number of OSAR cases remained similar, at 376 and 392, respectively. The 30-day mortality rates after EVAR and OSAR were 4.2% and 10.6%, respectively. The mortality rates were significantly higher in patients with hypertension, dyslipidemia, chronic renal disease, diabetes mellitus, and congestive heart failure. There were significant differences in the prevalence, proportion of EVAR, and mortality rates according to the regional area. Conclusion: The prevalence of AAA and the proportion of EVAR in Korea increased in the past 5 years, while the rupture rate and the proportion of OSAR remained similar. To minimize mortality and regional discrepancies, nationwide registry and treatment standardization are needed.

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