Aortic Aneurysm, Abdominal
Conditions
Brief summary
Populational abdominal aortic aneurysm (AAA) pilot screening programme performed by duplex ultrasonography in population born in 1952 in health areas depending from Hospital de la Santa Creu i Sant Pau in Barcelona. Descriptive data analysis and cost-effectiveness study will be performed.
Detailed description
Populational abdominal aortic aneurysm (AAA) pilot screening programme performed by duplex ultrasonography in population born in 1952 in areas depending from Hospital de la Santa Creu i Sant Pau in Barcelona. Ultrasonography evaluations will be performed in primary health centers by previously trained doctors according to study protocol and AAA management will be according to United Kingdom's National Health Service screening model. A descriptive analysis will be performed to estimate local population prevalence of AAA in both men and women in order to create the basis for a future state AAA screening programme. A cost-effectiveness analysis will be performed in order to assess optimal screening strategies in our population.
Interventions
DIAGNOSTIC_TESTABDOMINAL DUPLEX ULTRASONOGRAPHY
Abdominal ultrasonography performed by both primary care doctors or vascular surgeons in Hospital de la Santa Creu i Sant Pau area
Sponsors
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to 65 Years
Inclusion criteria
* All men in our area's population census and an aleatory sample of women born in 1952 living in Hospital de la Santa Creu i Sant Pau area.
Exclusion criteria
* Previously detected or operated AAA * Fragile patients not eligible for AAA repair if needed * Dead people when contacted * Eligible people refusing to participate * Eligible people failed to be contacted twice by our department
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Abdominal aortic measurement | Days (only one day measurement is performed) | Ultrasound infrarrenal aortic diameter measurement in mm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Surgical intervention if needed | 1 day | Registry of kind of intervention and date of intervention |
| Family AAA history | 1 day | First or second degree relatives with AAA, or no family AAA history |
| Personal Cardiovascular Risk Factors | 1 day | Coronary disease, neurovascular disease, peripheral arterial disease or diabetes mellitus |
| Dislipidaemia | 1 day | Altered lipid parameters in blood analysis |
| Arterial Hypertension | 1 day | Arterial hypertension under medical treatment |
| Smoking habits | 1 day | Defined by current smoker, former smoker (more than one year without smoking) or non smoker |
| Weight | 1 day | measures in kg |
| Abdominal perimeter | 1 day | measures in cm |
| Goldberg questionnaire | 1 day | Complete goldberg anxiety and depression questionnaire. It consists of 12 questions and 5 posible answers for each question, and each answer is rated with 1 to 5 points. Total score above 9 indicates risk of depression. |
| EuroQOL 5 score | 1 day | EuroQOL 5 quality of life evaluation questionnaire. It consistis of 5 questions with 3 posible answers for each question, and a visual analogical scale for self health perception. Each combination of answers indicates a pattern of health status that can be rated. |
| Height | 1 day | measures in cm |
Outcome results
None listed