Key result
Cardiac surgery in octogenarians carries ~6% in-hospital mortality but preserves high medium-term independence.
Why the study?
Does cardiac surgery improve survival, symptoms, and quality of life in octogenarians with severe cardiovascular disease?
Population
64 octogenarian patients who underwent cardiac surgery from 1996 to 2001 in three Australian hospitals. All…
Design
Cohort
Follow-up
mean 2.8 years
Authors
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Supports elective cardiac surgery consideration in octogenarians; leaves open randomized confirmation versus medical therapy.
Cohort (n=64)
Yes
Does cardiac surgery improve survival, symptoms, and quality of life in octogenarians with severe cardiovascular disease?
Cardiac surgery in octogenarians is associated with acceptable mortality and provides excellent medium-term symptom relief, independence, and quality of life.
Hewitt et al. (2003) conducted a cohort in Severe cardiovascular symptoms requiring cardiac surgery (n=64). Cardiac surgery was evaluated on Operative in-hospital mortality. Cardiac surgery in octogenarians resulted in a 6.3% in-hospital mortality rate (0% elective vs 10.5% urgent, P=0.05), with 94% of patients remaining independent at a mean follow-up of 2.8 years.
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