Key result
Open-heart surgery in octogenarians had an overall in-hospital mortality of 15.1%, and emergency surgery was associated with significantly lower long-term survival than elective cases (P<0.001).
Why the study?
The authors aimed to analyze early and long-term results of open-heart surgery in Turkish patients aged 80 years or older operated on at their center.
What are the in-hospital mortality and long-term survival outcomes of open-heart surgery in patients aged 80 years or older?
Cohort (n=245)
No
What are the in-hospital mortality and long-term survival outcomes of open-heart surgery in patients aged 80 years or older?
Open-heart surgery in octogenarians provides satisfactory long-term survival when performed electively, whereas emergency surgery is associated with significantly worse in-hospital and long-term outcomes.
Urges caution for emergency open-heart surgery in octogenarians; leaves open need for prospective risk-stratification studies.
OBJECTIVE: We aimed to analyze the early and long-term results of open-heart surgery in Turkish patients aged 80 years or older who were operated on at our center. METHODS: All patients aged 80 years or older who underwent surgery between January 2000 and December 2013 at a high-level heart center were included in the study. The in-hospital data of study patients were obtained from the electronic database and from the hospital files. Survival data were analyzed as a long-term outcome. RESULTS: A total of 245 patients aged 80-93 years were evaluated in the study. The patients were followed up 5.4±3.7 years after open-heart surgery. In-hospital mortality rates were 10% in elective cases and 15.1% overall. Age ≥85 years, chronic kidney disease, chronic obstructive pulmonary disease, and emergency surgery were independent predictors of in-hospital mortality. The median survival time was found to be 4.4±0.3 years for all participants. The long-term survival of patients who underwent emergency cardiac surgery was significantly lower than that of elective patients (log-rank <0.001). CONCLUSION: Octogenarians have satisfactory long-term outcomes after open-heart surgery when operated electively. On the other hand, patients operated under emergency conditions have worse inhospital outcomes and long-term follow-up results.
No takes yet. Share an insight, caveat, or question.
Aksüt et al. (2020) conducted a cohort in Open-heart surgery in octogenarians (n=245). Open-heart surgery was evaluated on In-hospital mortality. Open-heart surgery in octogenarians had an overall in-hospital mortality of 15.1%, and emergency surgery was associated with significantly lower long-term survival than elective cases (P<0.001).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: