Key result
The late era of cardiac surgery in octogenarians was associated with a significantly reduced risk of in-hospital mortality compared to earlier eras (OR 0.41; 95% CI 0.23-0.73; P<0.01).
Why the study?
Does the era of cardiac surgery impact in-hospital mortality in octogenarians?
Population
1,022 octogenarians (aged 80-94 years) undergoing cardiac surgery
Comparison
Cardiac surgery in the late era (2011-2016) vs Cardiac surgery in the early and middle eras
Design
Cohort
Follow-up
in-hospital
Authors
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Supports offering surgery to higher-risk octogenarians; leaves open whether advances or selection explain trends.
Cohort (n=1,022)
No
Does the era of cardiac surgery impact in-hospital mortality in octogenarians?
Odds Ratio: 0.41 (95% CI 0.23–0.73)
Absolute Event Rate: 4.7% vs 9.4%
p-value: p=<0.01
In-hospital mortality for octogenarians undergoing cardiac surgery has steadily improved over 18 years despite an increasing prevalence of comorbidities and higher predicted surgical risk.
Habib et al. (2018) conducted a cohort in Cardiac surgery in octogenarians (n=1,022). Late era of surgery (2011-2016) vs. Early era of surgery (1999-2004) was evaluated on In-hospital mortality (OR 0.41, 95% CI 0.23-0.73, p=<0.01). The late era of cardiac surgery in octogenarians was associated with a significantly reduced risk of in-hospital mortality compared to earlier eras (OR 0.41; 95% CI 0.23-0.73; P<0.01).
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