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THE ABNORMAL AORTA - A STATISTICAL DEFINITION AND STRATEGY FOR MONITORING CHANGE

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UNSPECIFIED (1995) THE ABNORMAL AORTA - A STATISTICAL DEFINITION AND STRATEGY FOR MONITORING CHANGE. EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 10 (1). pp. 95-100. ISSN 1078-5884

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Abstract

Objectives: This study defines a protocol for monitoring the growth of small abdominal aortic aneurysms based on age-related abnormality thresholds, observed aortic growth patterns and the limits of precision of the measurement technique. Design: 13000 men aged 60 - 75 years were invited to their GP's surgery for measurement of the maximum diameter of the infrarenal aorta. Seventy-six percent responded and measurement was possible in 97.1% of the respondents. The AP diameter of the aorta seas measured according to a strict protocol, with a portable ultrasound scanner. Setting: Cases were recruited from the conurbation of Birmingham and Solihull, U.K. Chief outcome measure: A statistical description of the differences in distributions of aortic diameters of four age groups of males. Main result: The aorta expands in diameter during the seventh and eighth decade for up to 25% of all those screened. The order of magnitude of this change is similar to that previously attributed to the growth of small aneurysms. Age-related thresholds for abnormality should range from 24 mm for a 60 year old to 37 mm for a 75 year old. Conclusions: Using data on the expected maximum rate of change of the dilated aorta and statistically derived thresholds from this analysis a monitoring strategy is suggested for those with an abnormal aorta.

Item Type: Journal Article
Subjects: R Medicine > RD Surgery
R Medicine > RC Internal medicine
Journal or Publication Title: EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
Publisher: W B SAUNDERS CO LTD
ISSN: 1078-5884
Date: July 1995
Volume: 10
Number: 1
Number of Pages: 6
Page Range: pp. 95-100
Publication Status: Published
URI: http://wrap.warwick.ac.uk/id/eprint/19545

Data sourced from Thomson Reuters' Web of Knowledge

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