Key result
Patients aged ≥75 years undergoing cardiac surgery had higher in-hospital mortality (3.8% vs 1.5%) than younger patients, though a perioperative care standard reduced ventilation time and delirium.
Why the study?
Does a standard of perioperative care improve outcomes in patients aged ≥ 75 years undergoing cardiac surgery compared to younger patients?
Cohort (n=8,355)
No
Does a standard of perioperative care improve outcomes in patients aged ≥ 75 years undergoing cardiac surgery compared to younger patients?
A standardized perioperative care protocol for elderly cardiac surgery patients can achieve mechanical ventilation durations comparable to younger patients, though in-hospital mortality remains higher due to comorbidities.
Answers are grounded in this paper and cite their sources.
Age ≥75 remains a mortality risk factor in cardiac surgery; leaves open whether perioperative standards improve survival.
INTRODUCTION: Surgery is an extreme physiological stress for the elderly. Aging is inevitably associated with irreversible and progressive cellular degeneration. Patients above 75 years of age are characterized by impaired responses to operative stress and a very narrow safety margin. AIM: To evaluate perioperative complications in patients aged ≥ 75 years who underwent cardiac surgery in comparison to outcomes in younger patients. MATERIAL AND METHODS: The study was conducted at the Silesian Centre for Heart Diseases in Zabrze in 2009-2014 after a standard of perioperative care in seniors was implemented to reduce complications, in particular to decrease the duration of mechanical ventilation and reduce postoperative delirium. The study group included 1446 patients. RESULTS: The mean duration of mechanical ventilation was 13.8 h in patients aged ≥ 75 years and did not differ significantly compared to younger patients. In-hospital mortality among seniors was 3.8%, a value significantly higher than that observed among patients younger than 75 years of age. Patients aged ≥ 75 years undergoing cardiac surgery have significantly more concomitant conditions involving other organs, which affects treatment outcomes (duration of hospital stay, mortality). CONCLUSIONS: The implementation of a standard of perioperative care in this age group reduced the duration of mechanical ventilation and lowered the rate of postoperative delirium.
No takes yet. Share an insight, caveat, or question.
Kucewicz‐Czech et al. (2016) conducted a cohort in Cardiac surgery (n=8,355). Advanced age (≥75 years) vs. Age <75 years was evaluated on In-hospital mortality (p=<0.001). Patients aged ≥75 years undergoing cardiac surgery had higher in-hospital mortality (3.8% vs 1.5%) than younger patients, though a perioperative care standard reduced ventilation time and delirium.
Synapse has enriched 10 related papers. Consider them for comparative context: