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Risk Factors for Abdominal Aortic Aneurysm and the Influence of Social Deprivation

Vascular and Endovascular Surgery Centre, Belfast City Hospital, Belfast, Northern Ireland, Stephen{at}Badger.tc

Mark E. O'Donnell, MB, MRCS

Vascular and Endovascular Surgery Centre, Belfast City Hospital, Belfast, Northern Ireland

Muhammed A. Sharif, MS, FRCS

Vascular and Endovascular Surgery Centre, Belfast City Hospital, Belfast, Northern Ireland

Christopher S. Boyd, MD, FRCR

Vascular and Endovascular Surgery Centre, Belfast City Hospital, Belfast, Northern Ireland

Raymond J. Hannon, MD, FRCS

Vascular and Endovascular Surgery Centre, Belfast City Hospital, Belfast, Northern Ireland

Louis L. Lau, MD, FRCS

Vascular and Endovascular Surgery Centre, Belfast City Hospital, Belfast, Northern Ireland

Bernard Lee, FRCS

Vascular and Endovascular Surgery Centre, Belfast City Hospital, Belfast, Northern Ireland

Chee V. Soong, MD, FRCS

Vascular and Endovascular Surgery Centre, Belfast City Hospital, Belfast, Northern Ireland

Introduction: the objective of this abdominal aortic aneurysm (AAA) screening study was to determine attendance and disease prevalence patterns in Northern Ireland and the role of deprivation and other risk factors. Patients and methods: patients from primary care practices from Belfast, Lisburn, and Saintfield were screened. Past medical history and deprivation details were determined. Results: 2264 men from Belfast, 1104 men in Lisburn, and 284 in Saintfield were invited to attend. Overall, 1659 (45.3%) men attended, with 40.6% from Belfast, 55.0% from Lisburn, and 45.8% from Saintfield (P < .0001). Ninety-two (5.5%) new AAAs were diagnosed, with 6.5%, 3.8%, and 6.2% in the 3 areas (P = .055). As deprivation decreased, attendance increased and prevalence decreased. Smoking, peripheral arterial disease, number of medications prescribed, and geographical origin were independent risk factors for AAAs. Conclusion: aneurysm prevalence is influenced by geographical origin and deprivation, which should, therefore, be important factors in health care planning and screening provision.

Key Words: abdominal aortic aneurysm • screening • prevalence • deprivation

This version was published on October 1, 2008

Angiology, Vol. 59, No. 5, 559-566 (2008)
DOI: 10.1177/0003319708321586


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