for EVAR vs surgery 411 vs 451 p 033 30day 354 vs 374 Reintervention 212 vs 202 p 07 length of stay 17 vs 26 days p lt 0001 EQ5D at 1 year 077 ID: 917503
Download Presentation The PPT/PDF document "IMPROVE Primary outcome: 1-year death" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
IMPROVE
Primary outcome: 1-year death for EVAR vs. surgery: 41.1% vs. 45.1%; p = 0.33 (30-day: 35.4% vs. 37.4%)Reintervention: 21.2% vs. 20.2%, p = 0.7; length of stay: 17 vs. 26 days, p < 0.001EQ-5D at 1 year: 0.77 vs. 0.71, p < 0.05; EVAR is cost-effective
Trial design: Patients with clinical suspicion for ruptured abdominal aortic aneurysm (AAA) were randomized in a 1:1 fashion to either endovascular (EVAR) or surgical repair. They were followed for 1 year.
Results
Conclusions
Grieve R, et al. Eur Heart J 2015;Apr 8:[Epub]
Among patients with ruptured AAA, mortality at 1 year remains high, with the highest risk within the first 30 days EVAR did not provide a survival advantage over open surgery, although among survivors, it appeared to be a more cost-efficient strategy