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. 2023 Jun 30;44(29):2682–2697. doi: 10.1093/eurheartj/ehad386

Table 4.

Risk factors for growth and rupture of small abdominal aortic aneurysm based on a previous individual patient data meta-analysis

Risk factor n Growth Rupture
n Mean difference P HR P
Age (per year) 13 966 13 966 −0.001 (0.006) 0.82 1.04 (1.01, 1.07) 0.004
Female sex 8472 8472 0.142 (0.150) 0.34 3.76 (2.58, 5.47) <0.001
Body mass index (per kg/m2) 3439 3439 −0.008 (0.009) 0.35 0.93 (0.88, 0.99) 0.029
Current smoking 7486 7486 0.354 (0.065) <0.001 2.02 (1.33, 3.06) 0.001
Diabetes 5697 5697 −0.505 (0.097) <0.001 1.27 (0.45, 3.54) 0.65
Mean blood pressure (per 10 mmHg) 5957 5957 0.013 (0.021) 0.53 1.32 (1.11, 1.56) 0.001
Pulse pressure (per 10 mmHg) 5957 5957 −0.027 (0.014) 0.06 1.11 (1.02, 1.22) 0.019
Cardiovascular disease 6302 6302 −0.105 0.23 1.32 (0.77, 2.27) 0.32

The data presented are from an individual patient meta-analysis including 15 475 patients with small AAA attending surveillance programs in the UK, Australia, Norway, the USA, Sweden, and Denmark as previously reported.40 Data available varied for different risk factors; thus, the sample size for each risk factor has been shown (n). Shown are estimated mean difference (standard error of the mean) in AAA growth (mm/year) for each risk factor or hazard ratio (HR; 95% CI) for risk of aneurysm rupture as previously reported.40 Abdominal aortic aneurysm growth estimates were adjusted for the other risk factors shown in the table and initial AAA diameter, while HRs were adjusted for current AAA diameter only.