<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0003-3170</journal-id>
<journal-title><![CDATA[Angiología]]></journal-title>
<abbrev-journal-title><![CDATA[Angiología]]></abbrev-journal-title>
<issn>0003-3170</issn>
<publisher>
<publisher-name><![CDATA[Arán Ediciones S.L.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0003-31702020000300003</article-id>
<article-id pub-id-type="doi">10.20960/angiologia.00087</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Escala Anarcyl (aneurisma de aorta roto de Castilla y León) de predicción de mortalidad de aneurisma de abdominal roto]]></article-title>
<article-title xml:lang="en"><![CDATA[Anarcyl scale (ruptured aortic aneurysms Castilla y León) for predicting mortality in ruptured abdominal aortic aneurysms]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[San Norberto]]></surname>
<given-names><![CDATA[Enrique M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Crespo]]></surname>
<given-names><![CDATA[Cristian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Samos]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zorita]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vaquero]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Universitario de Valladolid Servicio de Angiología y Cirugía Vascular ]]></institution>
<addr-line><![CDATA[Valladolid ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Complejo Asistencial Universitario de León Servicio de Angiología y Cirugía Vascular ]]></institution>
<addr-line><![CDATA[León ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>72</volume>
<numero>3</numero>
<fpage>126</fpage>
<lpage>134</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0003-31702020000300003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0003-31702020000300003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0003-31702020000300003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: el aneurisma de aorta abdominal roto (AAAr), a pesar de los avances diagnósticos y terapéuticos, continúa presentando una elevada mortalidad. Aunque la reparación endovascular (EVAR) incrementa el número de pacientes a los que se le ofrece tratamiento quirúrgico, no se encuentra exento de complicaciones.  Objetivo: diseñar una escala de riesgo preoperatorio para los pacientes con AAAr intervenidos mediante EVAR.  Material y métodos: estudio prospectivo de 34 pacientes intervenidos mediante EVAR de AAAr en Castilla y León entre junio de 2016 y junio de 2019. Se recogieron variables de comorbilidad, preoperatorias de estabilidad hemodinámica y analítica al ingreso, así como de morbimortalidad intrahospitalaria.  Resultados: la mortalidad intrahospitalaria fue del 52,9%. El estudio univariante obtuvo como factores pronósticos de mortalidad la frecuencia cardíaca, la hemoglobina, la creatinina, el sodio, la GOT, la LDH y la troponina T ultrasensible. Tras la realización del estudio multivariante, resultaron significativas la frecuencia cardíaca (p = 0,011), la hemoglobina (p = 0,035) y la creatinina (p = 0,019). La escala resultante ofreció la siguiente fórmula de mortalidad: 0,440 + 0,560 (si hemoglobina &lt; 7 mg/dl) + 0,169 (si frecuencia cardíaca &lt; 70 latidos/min) + 0,084 (si creatinina &gt; 2,8 mg/dl). El área bajo la curva del presente modelo asciende a 0,870 (Fig. 1). Una puntuación &#8804; 0,440 se asoció con una mortalidad del 39,1%; una puntuación entre 0,441-0,644, con el 66,7%, y del 100%, si &#8805; 0,644.  Conclusión: la frecuencia cardíaca al ingreso y los niveles analíticos de hemoglobina y creatinina constituyen factores predictores de mortalidad intrahospitalaria en pacientes con AAAr tratados mediante exclusión endovascular. La aplicación de la escala propuesta en el presente estudio permite conocer a los pacientes que no se beneficiarían del tratamiento quirúrgico endovascular del AAAr.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: the ruptured abdominal aortic aneurysm (AAAr), despite diagnostic and therapeutic advances, continues to present a high mortality. Although endovascular repair (EVAR) increases the number of patients who are offered surgical treatment, it is not without complications.  Objective: design a preoperative risk scale for patients with AAAr treated by EVAR.  Material and methods: prospective study of 34 patients undergoing EVAR of AAAr in Castilla y León between June 2016 and June 2019. Comorbidities, preoperative variables of hemodynamic stability, analytical at admission, as well as in-hospital morbidity and mortality were collected.  Results: in-hospital mortality was 52.9%. The univariate predictors obtained were heart rate, hemoglobin, creatinine, sodium, GOT, LDH and ultrasensitive troponin T as prognostic factors. After completing the multivariate analysis, heart rate (p = 0.011), hemoglobin (p = 0.035) and creatinine (p = 0.019) were statistically different between the groups. The scale resulting from the following mortality formula: 0.440 + 0.560 (if hemoglobin &lt; 7 mg/dl) + 0.169 (if heart rate &lt; 70 beats/min) + 0.084 (if creatinine &gt; 2.8). This model obtained an area under the curve of 0.870 (Fig. 1). A score &lt; 0.440 is associated with a mortality of 39.1%, a score between 0.441-0.644 with 66.7% and 100% if &gt; 0.644.  Conclusion: the heart rate at admission and the analytical levels of hemoglobin and creatinine, are predictive factors of in-hospital mortality in patients with AAAr treated with endovascular exclusion. The application of the proposed scale allows the detection of patients who would not benefit from the endovascular surgical treatment of AAAr.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Aneurisma aorta abdominal]]></kwd>
<kwd lng="es"><![CDATA[Rotura aórtica]]></kwd>
<kwd lng="es"><![CDATA[Mortalidad]]></kwd>
<kwd lng="es"><![CDATA[Tratamiento endovascular]]></kwd>
<kwd lng="es"><![CDATA[Pronóstico]]></kwd>
<kwd lng="es"><![CDATA[Castilla y León]]></kwd>
<kwd lng="en"><![CDATA[Abdominal aortic aneurysm]]></kwd>
<kwd lng="en"><![CDATA[Aortic rupture]]></kwd>
<kwd lng="en"><![CDATA[Mortality]]></kwd>
<kwd lng="en"><![CDATA[Endovascular treatment]]></kwd>
<kwd lng="en"><![CDATA[Prognosis]]></kwd>
<kwd lng="en"><![CDATA[Castilla y León]]></kwd>
</kwd-group>
</article-meta>
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