Versorgung des Bauchaortenaneurysmas in Deutschland: Ein Bericht des Qualitätsregisters der DGG im Jahr 2023

Approximately 500 hospitals in Germany carry out the elective and emergency treatment of people with abdominal aortic aneurysms (AAA). A proportion of these hospitals are connected to a quality network under the umbrella of the German Society for Vascular Surgery and Vascular Medicine (DGG) to improve the quality of outcomes through rigorous benchmarking.

A retrospective descriptive analysis of registry data on inpatient treatment of AAA between 1 January 2023 and 31 December 2023 was carried out.

In 2023 a total of 163 hospitals provided data on 5456 cases (15.4% women, median age 73 years). In median 28 procedures were conducted per center (7 open surgical aortic procedures). In 443 patients (8.1%) a rupture was documented, of which 83.3% were covered ruptures. In total 667 (14.3%) were detected during ultrasound screening and the median diameter of the AAA was 55 mm at the time of treatment. The length of hospital stay was 7 days in median and the elective endovascular aortic repair (EVAR) rate was 78%. Among patients with intact AAAs 461 (9.2%) were symptomatic, 12.4% had a juxtarenal AAA and in 26.8% the iliac arteries were involved.

The current data of the quality improvement registry in Germany emphasize that the indications, treatment reality and inpatient results are comparable to international registry data.