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Khirurgii

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Year 2021 Vol. 29 No 5

GENERAL & SPECIAL SURGERY

E.L. KALMYKOV 1, W. AHMAD 1, I.A. SUCHKOV 2, R.E. KALININ 2, O. NEMATZODA 3, A.D. GAIBOV 4, D.D. SULTANOV 4, P. MAJD 1, J. BRUNKWALL 1

DEMOGRAPHIC DIFFERENCES IN PATIENTS WITH ABDOMINAL AORTIC ANEURYSM IN DIFFERENT COUNTRIES: GERMANY, TAJIKISTAN AND RUSSIAN FEDERATION

Cologne University Clinic 1, Cologne,
Germany,
I.P. Pavlov Ryazan State Medical University 2, Ryazan,
Russian Federation,
Republican Scientific Center for Cardiovascular Surgery of the Ministry of Health and Social Protection of the Population 3, Dushanbe,
Avicenna Tajik State Medical University 4, Dushanbe,
Republic of Tajikistan

Objective. To compare the demographics, comorbidities and risk factors in patients with abdominal aortic aneurysm (AAA) treated in three different communities; Germany, Tajikistan and Russian Federation.
Methods. A retrospective comparative study including patients with an infrarenal AAA who were treated with either endovascular aneurysm repair (EVAR) or open repair (2011-2015) in Cologne, Dushanbe and Ryazan was done. A total number of 711 patients, 499 from Cologne, 46 from Dushanbe and 166 from Ryazan were included in the study. Demographic data including age, gender, body mass index (BMI), comorbidities (diabetes, coronary artery disease (CAD)), hypertension, cerebrovascular disease, chronic obstructive pulmonary disease (COPD, smoking), actual treatment as well as the diameter of the abdominal aorta were collected, retrospectively.
Results. There was no statistically significant difference in AAA prevalence with respect to gender between the study centers. Similarly, the BMI did not differ significantly between these 3 centers. Though, the patients from Cologne were older than those from Dushanbe and Ryazan. Moreover, the number of patients treated due to ruptured aneurysm was significantly lower in Cologne in comparison to the other two centers (P<.05). The AAA-diameter of patients in Ryazan and Dushanbe was greater than that found in Cologne. Regarding the actual medication that patients were presented with, antiplatelet-aggregation medication, statin and beta blockers were used significantly more often in Cologne. Patients from Tajikistan had COPD more often than patients from the other centers.
Conclusion. The prevalence of comorbidities, risk factors as well as medication in patients with infrarenal abdominal aortic aneurysm is different in the various geographical regions.

Keywords: abdominal aortic aneurysm, ruptured aneurysm, risk factors, demographic differences, mortality, endovascular treatment
p. 535-541 of the original issue
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Address for correspondence:
Clinic of Vascular and Endovascular Surgery,
Helios University Clinic. Wuppertal, Germany, Heusener Street 40,
42283, Wuppertal,
e-mail: egan0428@mail.ru,
Kalmykov Egan L.
Information about the authors:
Kalmykov Egan L., PhD, Vascular Surgeon, Clinic of Vascular and Endovascular Surgery, Helios University Clinic. Wuppertal, Germany.
https://orcid.org/0000-0001-6784-2243
Ahmad Wael, Doctor of Medicine, Department of Vascular and Endovascular Surgery, University Clinics, University of Cologne, Cologne, Germany.
https://orcid.org/0000-0001-5090-3468
Suchkov Igor A., MD, Professor, Vice-Rector for Research and Innovative Development, Professor of the Department of Cardiovascular, X-ray Endovascular, Operatives and Topographic Anatomy, I.P. Pavlov Ryazan State Medical University, Ryazan, Russian Federation
https://orcid.org/0000-0002-1292-5452
Kalinin Roman E., MD, Professor, Rector, Head of the Department of Cardiovascular, X-ray Endovascular, Operatives and Topographic Anatomy, I.P. Pavlov Ryazan State Medical University, Ryazan, Russian Federation
https://orcid.org/0000-0002-0817-9573

Nematzoda Okildzhon, PhD, Leading Researcher, Republican Scientific Center for Cardiovascular Surgery of the Ministry of Health and Social Protection of the Population, Dushanbe, Republic of Tajikistan.
https://orcid.org/0000-0001-7602-7611.

Gaibov Alidzhon D., Corresponding Member of AMS of RT, MD, Professor of the Department of Surgical Diseases No2, Avicenna Tajik State Medical University, Republican Scientific Center for Cardiovascular Surgery of the Ministry of Health and Social Protection of the Population, Dushanbe, Republic of Tajikistan.
https://orcid.org/0000-0002-7767-2556
Sultanov Dzhavili D., MD, Professor of the Department of Surgical Diseases No2, Avicenna Tajik State Medical University Dushanbe, Republic of Tajikistan.
https://orcid.org/0000-0001-7935-7763
Majd Payman, Doctor of medicine, Clinic of Vascular and Endovascular Surgery, Cologne University Clinic, Cologne, Germany.
https://orcid.org/0000-0002-5835-8318
Brunkwall Jan, Professor, Clinic of Vascular and Endovascular Surgery, Cologne University Clinic, Cologne, Germany.
https://orcid.org/0000-0003-3082-6009
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