Basic HTML Version
9
Vol. 18, No. 1 pp. 9–17
Copyright © 2012 Via Medica
ISSN 1234–950X
www.angiologia.pl
ORIGINAL PAPER
Address for correspondence:
prof. dr hab. n. med. Arkadiusz Jawień
Katedra i Klinika Chirurgii Ogólnej
Szpital Wojewódzki im. dr. J. Biziela
ul. K. Ujejskiego 75, 85–168 Bydgoszcz
tel: +48 52 371 54 82, fax: +48 52 371 57 82
e-mail: ajawien@ceti.pl
Preliminary results from the first Polish screening
program for abdominal aortic aneurysm in the
Kuyavian-Pomeranian Province
Wstępne wyniki pierwszego w Polsce programu przesiewowego
w tętniaku aorty brzusznej w województwie kujawsko-pomorskim
Arkadiusz Jawień
1
, Bartosz Fórmankiewicz
1
, Tadeusz Dereziński
2
, Paweł Brazis
1
,
Arkadiusz Migdalski
1
, Radosław Piotrowicz
1
, Łukasz Woda
1
, Dariusz M. Górecki
3
1
Department of General Surgery, Collegium Medicum, University of Nicolai Copernicus in Bydgoszcz,
Biziel Memorial University Hopital No. 2 in Bydgoszcz, Poland
(Katedra i Klinika Chirurgii Ogólnej, Collegium Medicum UMK w Bydgoszczy,
Szpital Uniwersytecki nr 2 im dr. J. Biziela w Bydgoszczy)
2
NZOZ Eskulap, Gniewkowo, Poland (NZOZ Eskulap, Gniewkowo)
3
Specialistic Outpatients Departments for General Practice RUDAKMED, Torun, Poland
(Specjalistyczne Przychodnie Medycyny Rodzinnej RUDAKMED, Toruń)
Abstract
Background.
Abdominal aortic aneurysm (AAA) is called a widening of the aorta below the renal arteries with
a diameter more than 3 cm. The prevalence of AAA is estimated at 4–8% in men aged 65 years or more. The
mortality rate for patients with ruptured AAA is 65%, while the mortality rate for aortic aneurysm repair surgery
in elective patients undergoing pre-screened is 3%. The aim of this study was to determine the prevalence
of AAA among men aged 60 years and older undergoing targeted ultrasonography of abdominal aorta. The
additional aim was to determine the relationship between specific risk factors and the AAA, and to determine
the prevalence of AAA in patients subgroups specified by the criteria for the screening programmes for AAA.
Material and methods.
Based on available data from the literature, study populations was defined as men
aged 60 years and older. Applied research methods were as follow: 1) the questionnaire; 2) measurement of
physical characteristics of aorta (diameter of abdominal aorta by ultrasound scan). The questionnaire consisted
of two parts: 1) identification and demographic data; 2) the presence of risk factors. Analysis of data from the
questionnaire determined the relationship between the risk factors and the AAA, whereas ultrasonography of
the aorta, detected the disease (abdominal aortic aneurysm) and its prevelance. Statistical analysis of the
data was performed using the software STATISTICA 9 (StatSoft, Inc., 2009).
Results.
Based on 1556 ultrasound scans, the abdominal aortic aneurysm was diagnosed in 94 men aged
60 years and older. The prevalence of AAA in the study group was 6.0%. Risk factors associated with the
AAA were analyzed in two groups: I — AAA (n = 94) and II — normal aorta (n = 1464). The three risk
factors were significantly associated with the AAA: age, smoking and family history, whereas the incidence
of AAA in males at 65 years old was 4.0%, and a group of men between 65 and 75 years of age, smoking
cigarettes ever, was 7.4%.
Conclusions.
In the obtained data the prevalence of AAA was similar to that of literature. Additionally, the
positive relationship between age, smoking, and AAA was detected.
Key words: abdominal aortic aneurysm, ultrasonography, screening