Key result
Urgent or emergency cardiac surgery in octogenarians was associated with significantly higher operative mortality compared to elective surgery (25% vs 6%).
Why the study?
Does elective versus urgent/emergent cardiac surgery affect operative mortality and long-term survival in octogenarians?
Population
237 patients aged 80 years or older undergoing cardiac surgery, mean age 82, 148 men and 89 women. 81% in…
Comparison
Cardiac surgery, performed electively or… vs Urgent/emergency operations compared to elective…
Design
Cohort
Follow-up
mean 54 months
Authors
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May warrant caution with urgent procedures in octogenarians; leaves open causal effects pending prospective validation.
Cohort (n=237)
Does elective versus urgent/emergent cardiac surgery affect operative mortality and long-term survival in octogenarians?
Absolute Event Rate: 25% vs 6%
Elective cardiac surgery in octogenarians has satisfactory early and late outcomes, whereas urgent or emergent surgery carries a markedly higher mortality risk.
Ishikawa et al. (2004) conducted a cohort in Cardiac disease requiring surgery (n=237). Urgent or emergency cardiac surgery vs. Elective cardiac surgery was evaluated on Operative mortality. Urgent or emergency cardiac surgery in octogenarians was associated with significantly higher operative mortality compared to elective surgery (25% vs 6%).
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