Key result
In elderly patients undergoing off-pump coronary bypass grafting, overall in-hospital mortality was 6%, with those aged 75 years or older experiencing significantly higher mortality compared to patients aged 70-74 years (7 vs 4 deaths, p=0.028).
Why the study?
Does off-pump coronary bypass grafting improve quality of life and survival in patients aged 70 years or older?
Observational (n=173)
No
Does off-pump coronary bypass grafting improve quality of life and survival in patients aged 70 years or older?
Off-pump coronary bypass grafting in elderly patients (≥70 years) is associated with acceptable in-hospital mortality (6%) and good long-term quality of life.
Higher mortality risk beyond age 75 warrants caution in surgical decisions; leaves open net survival or quality-of-life benefit of off-pump grafting in the elderly.
AIM: We aimed to report our postoperative results in elderly patients that had off-pump coronary bypass grafting. METHOD: Data of 173 patients with isolated coronary bypass 70 years of age or older were retrospectively evaluated. One month follow-up data were evaluated in all patients. After getting verbal informed consent a total of 91 patients were included in the quality of life assessment via EuroQoL form. The data of patients with age of 70-74 and 75 or older were compared. RESULTS: The mean ages of patients at age of 70-74 and ≥75 were 71.69±0.16 and 76.81±0.23 years; respectively. Eleven cases had in-hospital mortality (%6 of 173 patients). The mean follow-up period for the group that were reached for EuroQoL assessment was 46,3 ± 20,8 months. The percent of cases among the whole study group that had participated in the quality of life questionnaire were in good condition in terms of mobility, self-care, usual activities, pain/discomfort, anxiety/depression were %75, %87, %81, %92 and %89; respectively. DISCUSSION: Off-pump coronary bypass operation may be safely used in elderly patients with high quality of life and low morbidity and mortality.
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Biçer et al. (2009) conducted an observational in Coronary Artery Disease (n=173). Age ≥ 75 years (Off-pump CABG) vs. Age 70-74 years (Off-pump CABG) was evaluated on In-hospital mortality (30 days) (p=0.028). In elderly patients undergoing off-pump coronary bypass grafting, overall in-hospital mortality was 6%, with those aged 75 years or older experiencing significantly higher mortality compared to patients aged 70-74 years (7 vs 4 deaths, p=0.028).
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