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April 1, 1996Cardiovascular Surgery

Cardiac surgery in the ninth decade of life

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Population

96 consecutive patients >80 years of age referred for surgery for either valve replacement or myocardial…

Design

Cohort

Follow-up

up to 5 years

Authors

YGY GlockUniversité Fédérale de Toulouse Midi-Pyrénées

Discussion

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Implication

Supports surgical evaluation in selected octogenarians; leaves open confirmation of net benefit versus medical therapy in RCTs.

Structured PICO

P
Population
96 consecutive patients >80 years of age referred for surgery for either valve replacement (n=51) or myocardial revascularization (n=45) between 1985 and 1992.
I
Intervention
Cardiac surgery, consisting of either valve replacement (chiefly aortic using bioprosthetic valves) or coronary artery bypass grafts (mean of two venous grafts per patient).
O
Outcome
1-month or in-hospital mortality and actuarial survival up to 5 yearshard clinical

Cardiac surgery in octogenarians carries an acceptable operative risk and provides good long-term survival and symptom relief.

Cite This Study

Y Glock (1996) studied this question.

synapsesocial.com/papers/6a73135f542cb04b60cd5be3https://doi.org/10.1016/0967-2109(96)82324-6

Topics

Valvular heart disease
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiac surgery in patients over the age of 80 years1990 · 45 citations
  2. 2Cardiac Surgery in Patients Age 80 Years or Older1990 · 53 citations
  3. 3Aortic valve replacement in patients over 80 years of age: a comparative standard for balloon valvuloplasty1991 · 31 citations
  4. 4Open-Heart Surgery in Octogenarians1988 · 300 citations