PMID- 8610285
OWN - NLM
STAT- MEDLINE
DCOM- 19960524
LR  - 20041117
IS  - 0171-6425 (Print)
IS  - 0171-6425 (Linking)
VI  - 43
IP  - 5
DP  - 1995 Oct
TI  - Open heart surgery in the octogenarians--a study on long-term survival and 
      quality of life.
PG  - 265-70
AB  - This retrospective study analyzes the perioperative and long-term survival rate 
      as well as the long-term quality of life of 54 patients (23 f/31 m), aged 80 
      years or older (80 to 87, mean 82.2, SD +/- 1.79 years), who underwent open heart 
      surgery between January 1986 and December 1993. There were 23 patients with 
      coronary bypass, 21 with aortic valve replacement, 1 with mitral valve 
      replacement, 8 with combined aortic valve replacement and coronary bypass, and 1 
      with double valve replacement. Preoperatively, 26 of the patients were in New 
      York Heart Association (NYHA) class IV, 28 patients in class III. The in-hospital 
      mortality was 9.3% (5/54) over all and 6.1% (3/49) for elective procedures. 
      Follow-up time ranged from 6 to 91 months (mean 26.2 +/- 16.5). Of 49 discharged 
      patients, 6 (12.2%) died during the follow-up period. At the time of 
      re-evaluation 21 patients were in NYHA class I, 24 patients in class II, and 4 in 
      class III. There was a significant long-term benefit from the surgical 
      intervention in 39 or the 54 patients. Of 43 survivors 41 were able to live on 
      their own and 38 were able to handle their daily routine without help. Two 
      patients were cared for in a nursing home. This long-term analysis demonstrates 
      the benefits of cardiovascular surgery in octogenarians in terms of social 
      integration and quality of life.
FAU - Diegeler, A
AU  - Diegeler A
AD  - Department of thoracic and Cardiovascular Surgery, Georg-August University, 
      Gottingen, Germany.
FAU - Autschbach, R
AU  - Autschbach R
FAU - Falk, V
AU  - Falk V
FAU - Walther, T
AU  - Walther T
FAU - Gummert, J
AU  - Gummert J
FAU - Mohr, F W
AU  - Mohr FW
FAU - Dalichau, H
AU  - Dalichau H
LA  - eng
PT  - Journal Article
PL  - Germany
TA  - Thorac Cardiovasc Surg
JT  - The Thoracic and cardiovascular surgeon
JID - 7903387
SB  - IM
MH  - Aged
MH  - *Aged, 80 and over
MH  - *Cardiac Surgical Procedures/adverse effects/mortality/psychology
MH  - Cause of Death
MH  - Female
MH  - Heart Diseases/classification/mortality/*surgery
MH  - Hospital Mortality
MH  - Humans
MH  - Male
MH  - *Quality of Life
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Survival Rate
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 - 10.1055/s-2007-1013225 [doi]
PST - ppublish
SO  - Thorac Cardiovasc Surg. 1995 Oct;43(5):265-70. doi: 10.1055/s-2007-1013225.