[en] BACKGROUND: There is evident benefit in terms of reduced aneurysm related mortality from screening programmes of abdominal aortic aneurysm (AAA) in men aged 65 and more. Recent studies in UK and Sweden have shown a decline of the prevalence of AAA in the general population. Current screening policies (e.g. men aged 65-74 years) however do not account for ageing and increased life expectancy of western populations. This study investigated AAA detection by extending the target population to older age groups (75-85 years). METHODS: AAA screening was conducted in the County of Chaudfontaine (Liege, Belgium) on the population of elderly (N=3,054). The participation rate was 36%. The 1,101 participants (722 men aged 65-85 and 379 women aged 74-85 years) were examined by ultrasound (US) scan. AAA was defined as an infrarenal aortic outer-outer diameter of at least 3 cm. Demographics, clinical parameters and risk factors were also recorded. AAA prevalence was estimated and patients with and without AAA were compared by logistic regression. RESULTS: The overall AAA prevalence was 3.6% (n=40). In female participants, AAA prevalence was low (1.3%). In men, it amounted 2.7% in the 65-74 age group but rose to 7.3% in the age-extended group (75-85 years). Further in addition to age, height, current smoking, history of coronary artery disease, hypercholesterolemia, peripheral artery disease of the lower limbs and varicose veins were significantly associated with the presence of AAA. CONCLUSION: These preliminary findings, based on a representative sample of the elderly population of the Liege region, support the idea that current AAA screening policies should be updated to cover an increasingly ageing population. The presence of varicose veins as a potential risk factor for AAA should also be considered during screening.
Disciplines :
Génétique & processus génétiques Chirurgie
Auteur, co-auteur :
MAKRYGIANNIS, Georgios ; Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdo, sénologique, endocrine et de transplantation
Labalue, Philippe
Erpicum, Marie ; Université de Liège > Département des sciences de la santé publique > Département des sciences de la santé publique
Schlitz, Martin
SEIDEL, Laurence ; Centre Hospitalier Universitaire de Liège - CHU > Service des informations médico économiques (SIME)
El Hachemi, Mounia
GANGOLF, Marjorie ; Centre Hospitalier Universitaire de Liège - CHU > Service des informations médico économiques (SIME)
Albert, Adelin ; Université de Liège > Département des sciences de la santé publique > Département des sciences de la santé publique
Defraigne, Jean-Olivier ; Université de Liège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique
Lindholt, Jes S.
Sakalihasan, Natzi ; Université de Liège > Département des sciences cliniques > Biologie pathologique des parois artérielles
Langue du document :
Anglais
Titre :
Extending abdominal aortic aneurysm detection to older age groups: preliminary results from the Liege screening programme.
Date de publication/diffusion :
2016
Titre du périodique :
Annals of Vascular Surgery
ISSN :
0890-5096
eISSN :
1615-5947
Maison d'édition :
Springer, New York, Etats-Unis - New York
Peer reviewed :
Peer reviewed vérifié par ORBi
Commentaire :
Copyright (c) 2016 Elsevier Inc. All rights reserved.
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