PMID- 7555161
OWN - NLM
STAT- MEDLINE
DCOM- 19951108
LR  - 20190514
IS  - 0012-3692 (Print)
IS  - 0012-3692 (Linking)
VI  - 108
IP  - 4
DP  - 1995 Oct
TI  - Quality of life in octogenarians after open heart surgery.
PG  - 919-26
AB  - OBJECTIVES: To determine the quality of life in octogenarians after open heart 
      surgery. BACKGROUND: Despite an increasing number of cardiac operations on 
      octogenarians, the outcome as measured by functional status, independence of 
      living, and psychological parameters of quality of life remain unproved. METHODS: 
      Two groups of octogenarians (group 1, undergoing operation in 1986; group 2 in 
      1991) were reviewed retrospectively to determine operative mortality and 
      functional results. RESULTS: Group 1 (n = 15, mean age of 83.2 years) and group 2 
      (n = 53, mean age 83.0 years) were studied. Operations included isolated coronary 
      artery bypass grafting (group 1, 10; group 2, 29) and valve replacements +/- 
      coronary artery bypass grafting +/- other procedures (group 1: 5; group 2, 24). 
      Group 1 had 9% hospital mortality and 53% actuarial survival after a mean 
      follow-up of 6.3 years. Group 2 had 17% hospital mortality and 72% actuarial 
      survival after a mean follow-up of 1.5 years. At follow-up, significant 
      improvements were observed in New York Heart Association (NYHA) angina class, 
      congestive cardiac failure class, number of cardiovascular symptoms, and indices 
      for satisfaction with overall life and general affect in both groups. Further, 
      group 2 also showed significant improvements in independence of living, ease of 
      life, and Karnofsky dependency category, but these improvements were less evident 
      in group 1 after a longer period of follow-up. At follow-up, 75% of group 1 and 
      84% of group 2 octogenarians would definitely have made the same decision to 
      undergo open heart surgery in retrospect. CONCLUSION: This study demonstrates 
      improved quality of life after open heart surgery in octogenarians.
FAU - Kumar, P
AU  - Kumar P
AD  - Division of Cardiothoracic Surgery, Johns Hopkins Medical Institutions, 
      Baltimore, MD 21287, USA.
FAU - Zehr, K J
AU  - Zehr KJ
FAU - Chang, A
AU  - Chang A
FAU - Cameron, D E
AU  - Cameron DE
FAU - Baumgartner, W A
AU  - Baumgartner WA
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Chest
JT  - Chest
JID - 0231335
SB  - IM
MH  - Activities of Daily Living
MH  - Actuarial Analysis
MH  - Aged
MH  - *Aged, 80 and over/psychology/statistics & numerical data
MH  - Baltimore/epidemiology
MH  - *Cardiac Surgical Procedures/mortality/psychology/statistics & numerical data
MH  - Chi-Square Distribution
MH  - Female
MH  - Follow-Up Studies
MH  - Hospital Mortality
MH  - Humans
MH  - Karnofsky Performance Status
MH  - Male
MH  - Postoperative Complications/epidemiology
MH  - Postoperative Period
MH  - *Quality of Life
MH  - Retrospective Studies
EDAT- 1995/10/01 00:00
MHDA- 1995/10/01 00:01
CRDT- 1995/10/01 00:00
PHST- 1995/10/01 00:00 [pubmed]
PHST- 1995/10/01 00:01 [medline]
PHST- 1995/10/01 00:00 [entrez]
AID - S0012-3692(15)44799-3 [pii]
AID - 10.1378/chest.108.4.919 [doi]
PST - ppublish
SO  - Chest. 1995 Oct;108(4):919-26. doi: 10.1378/chest.108.4.919.