Sex-specific differences in AAA comorbid status (SAACS)

  • Research type

    Research Study

  • Full title

    Investigation into sex-specific differences in mortality and complications following elective abdominal aortic aneurysm repair and association with pre-operative co-morbid status.

  • IRAS ID

    293055

  • Contact name

    Anna Louise Pouncey

  • Contact email

    anna-louise.pouncey@nhs.net

  • Sponsor organisation

    Imperial College London

  • Duration of Study in the UK

    3 years, 9 months, 1 days

  • Research summary

    An abdominal aortic aneurysm (AAA) is a swelling in part of the main vessel supplying blood to the lower body. AAAs can burst, or ‘rupture’, which can be fatal. To prevent this, AAAs can be repaired, using open surgery (cutting open the abdomen,) or endovascular surgery (relining the vessel from inside). Worldwide, women are more likely than men to die and to suffer complications from elective AAA repair. The reason for this is unknown. Guidance for AAA treatment has been based on what works for men. However, with this strategy, women experience worse results, which suggests that women might benefit from a different care pathway.

    It may be the case that women have more medical issues prior to their operation or do not receive the same pre-operative investigations which negatively affects their operative outcome. This project will use national data sets collected in the UK on men and women who have under gone elective AAA repair to compare the differences in health status and investigations pre-operatively, and outcomes following repair. This should help us to identify whether there are key differences which we need to look at in more detail and consider changing in our care pathways for AAA repair.

  • REC name

    London - Hampstead Research Ethics Committee

  • REC reference

    23/LO/0031

  • Date of REC Opinion

    16 Jan 2023

  • REC opinion

    Favourable Opinion