Hardman Index for Ruptured AAA Mortality
Five preoperative variables predicting in-hospital mortality after open repair of ruptured AAA (Hardman 1996). Each scored 1.
Score interpretation
→ Proceed with EVAR (preferred per IMPROVE / NICE NG156) or open repair. Permissive hypotension (target SBP 70–90 mmHg) until clamp. Group, crossmatch ≥10 units; activate major haemorrhage protocol.
→ EVAR strongly preferred where anatomy permits. Senior anaesthetic and surgical input. Discuss prognosis with family pre-op.
→ Risk-benefit and patient/family discussion paramount — consider conservative palliative approach if ≥3 factors present, especially with cardiopulmonary comorbidity. EVAR remains lower mortality than open if surgery offered.
Interpretation bands for the Hardman. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.