Key result
Urgent cardiovascular surgery in patients aged 85 years or older was associated with a hospital mortality of 26.3% compared to 5.0% for elective surgery (p=0.065), alongside significantly longer ICU and hospital stays.
Why the study?
Does cardiovascular surgery yield acceptable clinical outcomes in patients aged 85 or older compared to younger patients?
Observational (n=39)
No
Does cardiovascular surgery yield acceptable clinical outcomes in patients aged 85 or older compared to younger patients?
Absolute Event Rate: 26.3% vs 5%
p-value: p=0.065
Elective cardiovascular surgery in patients aged 85 or older yields outcomes comparable to younger patients, suggesting that advanced age alone should not be a contraindication to surgery.
Urgent surgery in patients ≥85 years warrants caution given high mortality; leaves open whether elective timing improves outcomes in this population.
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Gon et al. (2014) conducted an observational in Cardiovascular disease requiring surgery (n=39). Urgent cardiovascular surgery vs. Elective cardiovascular surgery was evaluated on Hospital mortality (p=0.065). Urgent cardiovascular surgery in patients aged 85 years or older was associated with a hospital mortality of 26.3% compared to 5.0% for elective surgery (p=0.065), alongside significantly longer ICU and hospital stays.
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