Key result
Elective open abdominal aortic aneurysm repair in patients aged ≥80 years had similar mortality (6.25% vs 4.8%; P>0.6) and complication rates compared to patients aged <80 years.
Why the study?
Does age >=80 years increase morbidity or mortality in patients undergoing elective open abdominal aortic aneurysm repair?
Cohort (n=251)
No
Does age >=80 years increase morbidity or mortality in patients undergoing elective open abdominal aortic aneurysm repair?
Answers are grounded in this paper and cite their sources.
Age >=80 years does not significantly increase morbidity or mortality in veterans undergoing elective open AAA repair, suggesting advanced age alone should not be an exclusion criterion.
BACKGROUND: The aim of this study was to audit the outcome of elective open aortic aneurysm repair in a veteran hospital to determine whether age > or =80 years influenced the morbidity or mortality. METHODS: All elective abdominal aortic aneurysm (AAA) repaired at Greenslopes Private (Repatriation) Hospital between January 1995 and July 2000 were reviewed. Operative details, premorbid condition, postoperative outcomes as well as length of admission were recorded. Patients were grouped according to age as > or =80 years or <80 years. RESULTS: There were 251 open elective AAA (including infrarenal and suprarenal, as well as recurrent AAA) repairs carried out during this period, 64 of which were patients of age > or =80 years. Cardiovascular risks factors did not differ between groups nor did complication rates for patients > or =80 and <80 years of age (19.1 and 19.8%, respectively). Mortality rates were not significantly different between groups (> or =80 years: 6.25%; <80 years: 4.8%; P > 0.6). CONCLUSIONS: Age > or =80 years should not be an exclusion criteria when contemplating open elective AAA repair.
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Kruger et al. (2002) conducted a cohort in Abdominal aortic aneurysm (n=251). Age ≥80 years vs. Age <80 years was evaluated on Mortality rate (p=> 0.6). Elective open abdominal aortic aneurysm repair in patients aged ≥80 years had similar mortality (6.25% vs 4.8%; P>0.6) and complication rates compared to patients aged <80 years.
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