January 1, 1990European Journal of Cardio-Thoracic Surgery
Cardiac surgery in the octogenarian
Population
103 octogenarians (59 male, 44 female; mean age 82 years) undergoing cardiac surgery between 1980 and 1989
Design
Cohort
Follow-up
mean 23 +/- 19 months
Authors
Discussion
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Member takes
Implication
Supports preoperative risk stratification in octogenarian cardiac surgery; leaves open need for prospective validation of predictors.
Structured PICO
P
Population
103 octogenarians (59 male, 44 female; mean age 82 years) undergoing cardiac surgery between 1980 and 1989
I
Intervention
Cardiac surgery (coronary bypass, aortic valve replacement, mitral valve replacement, or combinations)
O
Outcome
Operative mortality and surgical risk factorshard clinical
Cardiac surgery in octogenarians carries a 16.5% operative mortality, driven by factors like preoperative IABP use, history of heart failure, and mitral valve replacement, though survivors experience good mid-term survival and symptomatic improvement.
Cite This Study
Naunheim et al. (1990) studied this question.