What does this article add?
This study is a multi-center retrospective cohort study proving that female patients admitted with AAA rupture had a higher overall mortality and post-operative mortality than males, though the size of aneurysm is smaller in females at the time of rupture. They had a longer length of ICU stay, higher incidence of postoperative complications, use of vasopressors and ventilator. Routine screening might be warranted for females considering the worse outcomes.