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January 26, 2015BMC AnesthesiologyOpen Access

Cardiac surgery in 260 octogenarians: a case series

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Key result

Cardiac surgery in octogenarians was associated with an overall hospital mortality of 3.9%, with preoperative chronic obstructive pulmonary disease identified as the only independent predictor of mortality (OR 9.106).

Population

260 patients aged ≥80 years undergoing cardiac surgery at a single university hospital over a 6-year period.

Design

Case_series

Follow-up

In-hospital

Authors

ASAnna Mara ScandroglioHeart Failure & TransplantGFGabriele FincoUniversity of CagliariMPMarina PieriHeart Failure & Transplant

Discussion

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Implication

Supports individualized decisions for cardiac surgery in octogenarians; leaves open prospective validation of COPD as mortality predictor.

Study Design

Type

Observational (n=260)

Multicenter

No

Structured PICO

P
Population
260 patients aged 80 years or older undergoing various types of cardiac surgery at a single referral center, evaluated for hospital mortality and complications.
E
Exposure
Cardiac surgery (CABG, aortic valve, mitral valve, tricuspid valve, and ascending aorta interventions)
O
Outcome
Hospital mortalityhard clinical

Cardiac surgery can be performed in octogenarians with an acceptable hospital mortality rate of 3.9%, though preoperative COPD significantly increases mortality risk.

Limitations

  • Retrospective design covering a long period of time during which perioperative management may have changed
  • Lacking complete data on postoperative infections
  • No data provided on diastolic dysfunction
  • Lack of universally accepted international criteria for some definitions
  • No long-term follow-up or quality of life scores available
  • Retrospective design covering a long period of time with changing perioperative management
  • Lack of complete data on infection complications
  • Lack of data on diastolic dysfunction
  • Definitions based on local protocols
  • No follow-up and no quality of life score

Cite This Study

Scandroglio et al. (2015) conducted an observational in Cardiac surgery (n=260). Cardiac surgery was evaluated on Hospital mortality (95% CI 2.1-6.9). Cardiac surgery in octogenarians was associated with an overall hospital mortality of 3.9%, with preoperative chronic obstructive pulmonary disease identified as the only independent predictor of mortality (OR 9.106).

synapsesocial.com/papers/6a7f0851cb17bc2d1d0d3302https://doi.org/10.1186/1471-2253-15-15
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Also Consider

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

  1. 1Survival and quality of life in an elderly cardiac surgery population: 5-year follow-up2013 · 47 citations
  2. 2Cardiac Surgery in Nonagenarians and Centenarians2003 · 143 citations
  3. 3Universal Definition of Myocardial Infarction2007 · 4,254 citations
  4. 4Special Problems in the Elderly1999 · 94 citations