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January 1, 1999European Journal of Cardio-Thoracic SurgeryOpen Access

Cardiac surgery in the elderly

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Key result

Cardiac surgery on cardiopulmonary bypass in patients aged ≥80 years resulted in an early mortality of 5.7% and a 5-year survival of 67.7%, with worse outcomes for emergency and mitral procedures.

Population

242 patients aged 80 years or older undergoing cardiac surgery on cardiopulmonary bypass. 75.2% were in NYHA…

Design

Cohort

Follow-up

up to 5 years

Authors

MDMalcolm Dalrymple‐HayUniversity Hospitals Plymouth NHS TrustAAAiman AlzetaniUniversity Hospital Southampton NHS Foundation TrustSASaber Aboel-NazarEssex Cardiothoracic Centre

Discussion

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Implication

May inform shared decision-making for selected octogenarians; extends observational data but leaves open need for prospective validation.

Study Design

Type

Cohort (n=242)

Multicenter

No

Structured PICO

P
Population
242 patients aged 80 years or older (mean age 82.8, 135 female, 107 male) undergoing cardiac surgery on cardiopulmonary bypass. 75.2% were in NYHA functional class 3 or 4.
I
Intervention
Cardiac surgery on cardiopulmonary bypass (including isolated aortic valve replacement, coronary artery bypass grafting, and mitral procedures)
O
Outcome
Early mortality and survival at 1 and 5 yearshard clinical

Cardiac surgery in patients aged 80 years or older can be performed with acceptable early mortality and good 5-year survival, though emergency and mitral procedures carry higher risk.

Cite This Study

Dalrymple‐Hay et al. (1999) conducted a cohort in Cardiac disease requiring surgery (n=242). Cardiac surgery on cardiopulmonary bypass was evaluated on Early mortality. Cardiac surgery on cardiopulmonary bypass in patients aged ≥80 years resulted in an early mortality of 5.7% and a 5-year survival of 67.7%, with worse outcomes for emergency and mitral procedures.

synapsesocial.com/papers/6a0f55d65725bbd5cc5facechttps://doi.org/10.1016/s1010-7940(98)00286-3
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiac surgery in the octogenarian: Perioperative outcome and clinical follow-up1991 · 157 citations
  2. 2Cardiac surgery in the ninth decade of life1996 · 28 citations
  3. 3Outcome of Isolated Coronary Artery Bypass Surgery in Octogenarians1996 · 21 citations
  4. 4Aortic Valve Replacement in Patients 80 Years of Age and Older1997 · 173 citations
  5. 5Aging: a subject that must be at the top of world agendas1997 · 76 citations