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Table 1 Hospitalizations due to ruptured and non-ruptured abdominal aortic aneurysm between 2005 and 2019

From: German nation-wide in-patient treatment of abdominal aortic aneurysm—trends between 2005 and 2019 and impact of the SARS-CoV-2 pandemic

Year

2005

2010

2015

2019

Absolute Change

2005—2019

Rel. Change

2005—2019

All hospitalizations, n

14,075

15,819

16,385

16,051

 + 1,976

 + 14.0%

Age, mean (± sd)

71.94 (± 8.63)

72.79 (± 8.83)

73.25 (± 9.06)

73.81 (± 9.04)

 + 1.87

 + 2.6%

Men, n (%)

12,058 (85.7%)

13,621 (86.1%)

13,864 (84.6%)

13,663 (85.1%)

 + 1,605 (-0.5%)

-0.6%

In-hospital death, n (%)

1,642 (11.7%)

1,497 (9.5%)

1,252 (7.6%)

1,235 (7.7%)

-407 (-4.0%)

-34.0%

In-hospital stay, d, median (IQR)

11 (4–16)

9 (5–14)

7 (4–12)

7 (4–11)

-4

-36.4%

Comorbidities:

  Primary HT

7,900 (56.1%)

9,853 (62.3%)

10,715 (65.4%)

10,775 (67.1%)

 + 2,875 (+ 11.0%)

 + 19.6%

  DLP

3,140 (22.3%)

4,929 (31.2%)

6,115 (37.3%)

6,553 (40.8%)

 + 3,413 (+ 18.5%)

 + 83.0%

  DM-2

1,619 (11.5%)

2,669 (16.9%)

2,963 (18.1%)

2,731 (17.0%)

 + 1,112 (+ 5.5%)

 + 47.9%

  CKD

2,212 (15.7%)

3,491 (22.1%)

3,948 (24.1%)

3,861 (24.1%)

 + 1,649 (+ 8.3%)

 + 53.1%

  CHD

4,967 (35.3%)

5,248 (33.2%)

5,295 (32.3%)

5,060 (31.5%)

 + 93 (-3.8%)

-10.7%

Ruptured abdominal aortic aneurysm

Hospitalizations, n (%)

2,449 (17.4%)

2,410 (15.2%)

2,180 (13.3%)

2,164 (13.5%)

-285 (-3.9%)

-22.5%

Age, mean (± sd)

74.77 (± 9.64)

75.16 (± 10.19)

75.70 (± 10.23)

76.10 (± 10.11)

 + 1.33

 + 1.8%

Men, n (%)

1,942 (79.3%)

1,948 (80.8%)

1,723 (79.0%)

1,743 (80.5%)

-199 (+ 1.2%)

 + 1.6%

Treatment:

  OR, n (%)

1,286 (52.5%)

1,176 (48.8%)

820 (37.6%)

788 (36.4%)

-498 (-16.1%)

-30.7%

  EVAR, n (%)

92 (3.8%)

226 (9.4%)

395 (18.1%)

455 (21.0%)

 + 363 (+ 17.3%)

 + 459.7%

  combined, n (%)

14 (0.6%)

33 (1.4%)

81 (3.7%)

90 (4.2%)

 + 76 (+ 3.6%)

 + 627.5%

  no intervention, n (%)

1,057 (43.2%)

975 (40.5%)

884 (40.6%)

831 (38.4%)

-226 (-4.8%)

-11.0%

In-hospital death, n (%)

1,202 (49.1%)

1,118 (46.4%)

922 (42.3%)

927 (42.8%)

-275 (-6.2%)

-12.7%

In-hospital stay, d, median (IQR)

5 (1–18)

5 (1–17)

6 (1–17)

6 (1–16)

 + 1

 + 20.0%

Non-ruptured abdominal aortic aneurysm

Hospitalizations, n

11,626 (82.6%)

13,409 (84.8%)

14,205 (86.7%)

13,887 (86.5%)

 + 2,261 (+ 3.9%)

4.7%

Age, mean (± sd)

71.35 (± 8.28)

72.36 (± 8.49)

72.87 (± 8.81)

73.45 (± 8.81)

 + 2.10

 + 2.9%

Men, n (%)

10,116 (87.0%)

11,673 (87.1%)

12,141 (85.5%)

11,920 (85.8%)

 + 1,804 (-1.2%)

-1.4%

Treatment:

  OR, n (%)

5,588 (48.1%)

3,997 (29.8%)

2,385 (16.8%)

2,176 (15.7%)

-3,412 (-32.4%)

-67.4%

  EVAR, n (%)

2,264 (19.5%)

5,293 (39.5%)

6,840 (48.2%)

6,970 (50.2%)

 + 4,706 (+ 30.7%)

 + 157.7%

  combined, n (%)

50 (0.4%)

481 (3.6%)

1,079 (7.6%)

678 (4.9%)

 + 637 (+ 4.5%)

 + 1,050.3%

  no intervention, n (%)

3,724 (32.0%)

3,638 (27.1%)

3,901 (27.5%)

4,054 (29.2%)

 + 330 (-2.8%)

-8.9%

In-hospital death, n (%)

440 (3.8%)

379 (2.8%)

330 (2.3%)

308 (2.2%)

-132 (-1.6%)

-41.4%

In-hospital stay, d, median (IQR)

12 (6–16)

9 (6–14)

7 (5–12)

7 (4–10)

-5

-41.7%

  1. OR Open repair, EVAR Endovascular aneurysm repair, Sd Standard deviation, IQR Interquartile range, HT Hypertension, DLP Diseases of lipoprotein metabolism, DM-2 Diabetes mellitus type 2, CKD Chronic kidney disease, CHD Chronic heart disease