Why the study?
Does coronary artery bypass grafting in patients over 65 years of age result in similar operative morbidity and mortality compared to younger patients?
Cohort (n=659)
No
Does coronary artery bypass grafting in patients over 65 years of age result in similar operative morbidity and mortality compared to younger patients?
Coronary artery bypass surgery is a safe and effective management strategy for angina in elderly patients, with operative risks comparable to those in younger patients.
Answers are grounded in this paper and cite their sources.
Supports CABG consideration in selected elderly patients; leaves open need for randomized confirmation of long-term outcomes.
One hundred and eleven patients over the age of 65 years who underwent coronary artery bypass grafting in Glasgow between 1980 and 1985 were compared with 548 younger patients, who had coronary artery bypass surgery over a similar period of time. The elderly group had a higher prevalence of females, pre-operative unstable angina, left main coronary artery disease and depressed left ventricular function. There were no significant differences between the two groups in operative morbidity or mortality and angina was abolished or improved in 93% of the elderly patients at follow-up. Coronary artery surgery has an important role in the management of angina in elderly patients.
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Johnston et al. (2009) conducted a cohort in Coronary artery disease (n=659). Coronary artery bypass grafting in patients >65 years vs. Coronary artery bypass grafting in younger patients was evaluated on Operative morbidity or mortality.
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