Abdominal aortic aneurysms part one: Epidemiology, presentation and preoperative considerations.
Holly N Hellawell, Ahmed M H A M Mostafa, Harry Kyriacou and 2 others
PMID 32981453WHAT IT FOUND
UK abdominal aortic aneurysm guidance recommends screening eligible men, ultrasound follow-up by size, preoperative optimisation and urgent escalation for suspected rupture.
Key findings
01In the UK, every male is invited for abdominal aortic aneurysm screening within the year of their 65th birthday.
02Small and medium asymptomatic aneurysms are managed with periodic ultrasound surveillance, yearly for small and three monthly for medium.
03A ruptured abdominal aortic aneurysm should be suspected in any patient over 50 years with abdominal pain.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a narrative review, not an original study, so it does not test any intervention. It does not report how sources were selected or appraised, so its conclusions depend on the guidance and studies chosen. It is based on UK and European guidance, so local services and thresholds may differ. It does not report patient-level outcomes for the recommendations it summarises.
The easy way to misread this
Do not read this review as new evidence that screening, surveillance or preoperative optimisation improves outcomes in the patients you treat. It summarises existing guidance and prior studies, not original trial results.