PMID- 16469277
OWN - NLM
STAT- MEDLINE
DCOM- 20060411
LR  - 20190823
IS  - 0025-7753 (Print)
IS  - 0025-7753 (Linking)
VI  - 126
IP  - 5
DP  - 2006 Feb 11
TI  - [Cardiac surgery in octogenarians: current situation and future perspectives].
PG  - 170-2
AB  - BACKGROUND AND OBJECTIVE: Increasing life expectancy makes cardiac surgery in 
      octogenarians not very uncommon. We evaluated the characteristics and outcomes of 
      patients aged over 80 undergoing cardiac surgery in our centre. PATIENTS AND 
      METHOD: We retrospectively analyzed preoperative risk factors, in-hospital 
      morbimortality, and long term survival in 120 patients aged 80 years--mean age 
      (standard deviation): 81.53 (1.83)--who underwent cardiac surgery between 2000 
      and 2005, in comparison with 2425 younger patients referred to our center during 
      the same period. RESULTS: Preoperatively, octogenarians presented arterial 
      hypertension, renal failure, unstable angina, left main coronary stenosis and New 
      York Heart Association (NYHA) functional class III or IV more frequently than 
      younger patients. Combined cardiac surgery procedures (valvular plus coronary) 
      were also significatively higher (20% vs. 9.85%). Hospital mortality (15.8%) was 
      twice as higher as in the non octogenarian population and postoperative intensive 
      care units and hospital stay was longer. 45% suffered some postoperative 
      complication. In the multivariate analysis, urgent procedure, mitral valve 
      surgery and presentation of any postoperative complication were identified as 
      predictors of mortality, and female sex was identified as a risk factor for 
      postoperative morbidity. Survival at one, 3 and 5 years was 91.20%, 80.73% and 
      69.20%, respectively. 98.7% of the patients were in I-II NYHA functional class 
      and 92.5% satisfied with overall surgery outcome when they were interviewed. 
      CONCLUSIONS: Despite more preoperative co-morbidity and worse functional class, 
      cardiac surgery in octogenarians can be performed with an acceptable mortality. 
      Our patients have a satisfactory quality of life and would undergo a cardiac 
      surgery procedure again. Specific measurements in preoperative and immediate 
      postoperative periods, in order to reduce higher morbidity rates, are advisable.
FAU - Carrascal, Yolanda
AU  - Carrascal Y
AD  - Servicio de Cirugia Cardiaca, ICICOR, Hospital Universitario de Valladolid, 
      Valladolid, Spain. aguerrerop@medynet.com
FAU - di Stefano, Salvatore
AU  - di Stefano S
FAU - Fulquet, Enrique
AU  - Fulquet E
FAU - Echevarria, Jose Ramon
AU  - Echevarria JR
FAU - Florez, Santiago
AU  - Florez S
FAU - Fiz, Luis
AU  - Fiz L
LA  - spa
PT  - English Abstract
PT  - Journal Article
TT  - Cirugia cardiaca en octogenarios: situacion actual y perspectivas de futuro.
PL  - Spain
TA  - Med Clin (Barc)
JT  - Medicina clinica
JID - 0376377
SB  - IM
MH  - Aged, 80 and over
MH  - *Cardiac Surgical Procedures
MH  - Comorbidity
MH  - *Geriatrics
MH  - Humans
MH  - Retrospective Studies
MH  - Risk Factors
EDAT- 2006/02/14 09:00
MHDA- 2006/04/12 09:00
CRDT- 2006/02/14 09:00
PHST- 2006/02/14 09:00 [pubmed]
PHST- 2006/04/12 09:00 [medline]
PHST- 2006/02/14 09:00 [entrez]
AID - S0025-7753(06)71868-1 [pii]
AID - 10.1157/13084535 [doi]
PST - ppublish
SO  - Med Clin (Barc). 2006 Feb 11;126(5):170-2. doi: 10.1157/13084535.