What is the clinical evidence from this study?

Study design: Observational. Population: Cardiac surgery (n=120). Intervention: Very elderly age (≥80 years) vs. Elderly age (65-79 years). Primary outcome: Hospital mortality (p=0.091).

What does this research mean for the field?

Patients aged 80 years and older undergoing cardiac surgery exhibit a higher hospital mortality rate compared to patients aged 65 to 79 years (14.0% vs 4.3%), though the difference is not statistically significant. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

July 15, 2011Turkish Journal of Thoracic and Cardiovascular Surgery

Cardiac surgery and anesthesia in an elderly and very elderly patient population: a retrospective study

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Key result

Cardiac surgery in patients over 80 carries no significant hospital mortality increase versus ages 65 to 79.

P=0.091
n=120

Why the study?

How do perioperative care, anesthesia management, and short-term mortality/morbidity compare between elderly (65-79 years) and very elderly (≥80 years) patients undergoing heart surgery?

Population

120 elderly patients who underwent heart surgery between February 2007 and February 2009.

Comparison

Cardiac surgery and anesthesia in very elderly… vs Cardiac surgery and anesthesia in elderly…

Design

Cohort

Follow-up

short-term

Authors

ADAslı DemirBilkent University

Discussion

Member takes

Implication

May support individualized surgical decisions in very elderly patients; leaves open confirmation of mortality risk in larger prospective cohorts.

Study Design

Type

Observational (n=120)

Multicenter

Structured PICO

How do perioperative care, anesthesia management, and short-term mortality/morbidity compare between elderly (65-79 years) and very elderly (≥80 years) patients undergoing heart surgery?

Population

120 elderly (65-79 years) and very elderly (≥80 years) patients undergoing cardiac surgery, retrospectively evaluated for perioperative outcomes and short-term mortality.

Exposure

Cardiac surgery and anesthesia in very elderly patients (≥80 years old).

Comparator

Cardiac surgery and anesthesia in elderly patients (65 to 79 years old).

Outcome

Perioperative care, anesthesia management, and short-term mortality/morbidity data.hard clinical

Main Result

Absolute Event Rate: 14% vs 4.3%

p-value: p=0.091

Very elderly patients (≥80 years) undergoing cardiac surgery present with higher baseline surgical risk (Euroscore) and more frequently require emergency operations compared to patients aged 65-79 years.

Limitations

Retrospective study design
Small sample size
Single-center experience

Cite This Study

Aslı Demir (2011) conducted an observational in Cardiac surgery (n=120). Very elderly age (≥80 years) vs. Elderly age (65-79 years) was evaluated on Hospital mortality (p=0.091). Very elderly age (≥80 years) in patients undergoing cardiac surgery was associated with a hospital mortality rate of 14.0% compared to 4.3% in patients aged 65-79 years, a difference that was not statistically significant (p=0.091).

synapsesocial.com/papers/6aa52e83014c9b816df4c0ff https://doi.org/10.5606/tgkdc.dergisi.2011.048

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July 15, 2011Turkish Journal of Thoracic and Cardiovascular Surgery

Cardiac surgery and anesthesia in an elderly and very elderly patient population: a retrospective study

View Full Paper

Ask AI

Bookmark

Key result

Cardiac surgery in patients over 80 carries no significant hospital mortality increase versus ages 65 to 79.

P=0.091
n=120

Why the study?

How do perioperative care, anesthesia management, and short-term mortality/morbidity compare between elderly (65-79 years) and very elderly (≥80 years) patients undergoing heart surgery?

Population

120 elderly patients who underwent heart surgery between February 2007 and February 2009.

Comparison

Cardiac surgery and anesthesia in very elderly… vs Cardiac surgery and anesthesia in elderly…

Design

Cohort

Follow-up

short-term

Authors

ADAslı DemirBilkent University

Discussion

Member takes

Implication

May support individualized surgical decisions in very elderly patients; leaves open confirmation of mortality risk in larger prospective cohorts.

Study Design

Type

Observational (n=120)

Multicenter

Structured PICO

How do perioperative care, anesthesia management, and short-term mortality/morbidity compare between elderly (65-79 years) and very elderly (≥80 years) patients undergoing heart surgery?

Population

120 elderly (65-79 years) and very elderly (≥80 years) patients undergoing cardiac surgery, retrospectively evaluated for perioperative outcomes and short-term mortality.

Exposure

Cardiac surgery and anesthesia in very elderly patients (≥80 years old).

Comparator

Cardiac surgery and anesthesia in elderly patients (65 to 79 years old).

Outcome

Perioperative care, anesthesia management, and short-term mortality/morbidity data.hard clinical

Main Result

Absolute Event Rate: 14% vs 4.3%

p-value: p=0.091

Limitations

Retrospective study design
Small sample size
Single-center experience

Cite This Study

synapsesocial.com/papers/6aa52e83014c9b816df4c0ff https://doi.org/10.5606/tgkdc.dergisi.2011.048

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