Abdominal aortic aneurysm

An abdominal aortic aneurysm is a dilation of the abdominal aorta that can lead to rupture. A ruptured aneurysm is a life-threatening emergency.

Our Mission

  • To conduct epidemiological surveillance of abdominal aortic aneurysms

  • Preventing the risk of abdominal aortic aneurysms

Data

The surveillance system for abdominal aortic aneurysms established by Santé publique France makes it possible to study the epidemiological trends of this vascular disease.

Higher hospitalization rates among men

In 2013, 8,853 patients (men: 90%, women: 10%) had at least one full hospitalization for AAA, 90% of which were for an AAA without evidence of rupture. Hospitalization rates were higher among men than among women.

*Rate per 100,000 inhabitants.**Rate standardized by age based on the 2010 French population (INSEE). Scope: All of France.

  

AAA without mention of default 

AAA with a break 

 

Men 

Women 

Total 

Men 

Women 

Total 

Number of hospitalized patients 

7,203 

783 

7,986 

724 

143 

867 

Gross rate* 

22.6 

2.3 

12.2 

2.3 

0.4 

1.3 

0–44 years 

0.1 

0.1 

0.1 

<0.1 

<0.1 

<0.1 

45–54 years 

4.6 

0.4 

2.5 

0.4 

0.1 

0.3 

55–64 years 

37.4 

2.0 

19.1 

3.0 

0.3 

,16 

65–74 years 

92.7 

5.0 

46.1 

7.6 

0.4 

3.8 

75–84 years 

142.2 

13.4 

66.1 

13.8 

1.7 

6.7 

85 and older 

109.4 

14.7 

43.6 

25.8 

5.6 

11.7 

Standardized rate** 

24.6 

2.0 

11.8 

2.6 

0.3 

1.3 

Decrease in the rate of men hospitalized for unruptured abdominal aortic aneurysms, increase among women

An analysis of overall trends between 2002 and 2013 shows, for AAA without mention of rupture, a slight decrease in the standardized rate among men (-5.0%) and a slight increase among women (+5.2%).

Trends in the rates of hospitalized patients with a primary diagnosis of abdominal aortic aneurysm, by sex, in France between 2002 and 2013

Évolution des taux de patients hospitalisés avec un diagnostic principal d’anévrisme de l’aorte abdominale, selon le sexe, en France entre 2002 et 2013
* Age-standardized rates based on the 2010 French population (INSEE). Scope: All of France. Sources: National PMSI database (ATIH), demographic statistics: INSEE.

Higher mortality among men than among women

Data collected from death certificates show that the number of deaths from AAA as the primary cause in France was 1,304 in 2013, 58% of whom were men.

*Rate per 100,000 inhabitants.**Rate standardized by age based on the 2010 French population (INSEE). Scope: All of France.

  

AAA without mention of default 

AAA with a break 

 

Men 

Women 

Total 

Men 

Women 

Total 

Number of deaths 

246 

68 

314 

509 

167 

676 

Gross rate* 

0.8 

0.2 

0.5 

1.6 

0.5 

1.0 

>65 years 

0.1 

<0.1 

0.1 

0.2 

<0.1 

0.1 

65 years and older 

4.8 

1.0 

2.6 

9.7 

2.5 

5.5 

Standardized rate** 

1.0 

0.2 

0.5 

2.0 

0.4 

1.0 

Deaths from abdominal aortic aneurysms on the decline

Between 2000 and 2011, the mortality rate from abdominal aortic aneurysms decreased significantly among both men and women.

Trends in mortality rates from abdominal aortic aneurysms, by sex, in France between 2000 and 2011

Evolution des taux de décès par anévrisme de l’aorte abdominale, selon le sexe, 2000-2011
* Rates * Age-standardized rates based on the 2010 French population (INSEE). Scope: All of France. Sources: Mortality data: Inserm-CépiDC; demographic statistics: INSEE.