September 1, 2003Journal of the American College of Surgeons
Cardiac Surgery in Nonagenarians and Centenarians
Key result
Operative mortality for isolated CABG was highest in patients >90 years of age (11.8%) compared to those aged 80-89 (7.1%) and 50-79 (2.8%), though risk is lower in carefully selected patients.
Why the study?
Does age >90 years increase operative mortality and complications in patients undergoing cardiac surgery compared to younger patients?
Population
662,033 patients who underwent cardiac surgical procedures from 1997 through 2000, including 5 patients >100…
Comparison
Cardiac surgical procedures in nonagenarians and… vs Cardiac surgical procedures in younger age groups
Design
Cohort
Follow-up
operative
Authors
Discussion
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Member takes
Implication
Higher CABG mortality in nonagenarians warrants individualized risk assessment; supports refined selection criteria in future studies.
Study Design
Type
Observational (n=662,033)
Multicenter
Yes
Structured PICO
Does age >90 years increase operative mortality and complications in patients undergoing cardiac surgery compared to younger patients?
P
Population
662,033 patients aged 50 to >100 years who underwent cardiac surgical procedures between 1997 and 2000, analyzed retrospectively to compare outcomes across age groups.
E
Exposure
Cardiac surgical procedures in nonagenarians and centenarians (>90 years of age)
C
Comparator
Cardiac surgical procedures in younger age groups (80-89 years and 50-79 years of age)
O
Outcome
Operative mortalityhard clinical
Main Result
Absolute Event Rate: 11.8% vs 2.8%
Cardiac surgery in nonagenarians and centenarians carries higher operative mortality and complication rates, but careful patient selection can achieve mortality rates approaching those of younger patients.
Cite This Study
Bridges et al. (2003) conducted an observational in Cardiac surgical procedures (n=662,033). Age >90 years (nonagenarians and centenarians) vs. Age 50 to 89 years was evaluated on Operative mortality (CABG-only). Operative mortality for isolated CABG was highest in patients >90 years of age (11.8%) compared to those aged 80-89 (7.1%) and 50-79 (2.8%), though risk is lower in carefully selected patients.