Prevention of death from ruptured abdominal aortic aneurysm
PHE ePoster Library. Summers L. 09/13/16; 138136; 162
Lisa Summers
Lisa Summers
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Abstract Objectives. The aim of the present study was to monitor the early effect of a national population screening programme for abdominal aortic aneurysm (AAA) in 65 year old men Design. The study used national statistics for death rates from AAA (Office of National Statistics, ONS) and hospital admission data in England (Hospital Episode Statistics, HES). Methods. Information concerning deaths from AAA (ruptured and non ruptured) (1999-2014) from the Office for National Statistics and hospital admissions for ruptured AAA (rAAA) (2000-2015) from the Health and Social Care Information Centre was examined. Results. The absolute number of deaths from AAA in men and women aged 65 years and over has decreased by around 30% from 2001 to 2014, but since the population has increased, the relative reduction was 45.6% and 40.0%, respectively. Some 65% of all AAA deaths are in men over 65; women aged 65 years and over account for around 31%. Deaths from rAAA in men aged 60-74 years (the screened group) appear to be declining at the same rate as men aged 75 and over. The relative decline in admissions to hospital with rAAA may be more in men and women aged 60-74 (which contains the screened group of men), than those older, giving the first possible evidence that AAA screening is having an effect. Conclusions. The death rate from AAA in England was declining prior to the implementation of the screening programme. However, this is the first evidence that screening may be contributing to and increasing this reduction.
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