Key result
Valve surgery in patients >75 is associated with ~71% long-term survival and excellent quality of life.
Why the study?
Assessment of quality of life after valve surgery in elderly patients is important for risk-benefit analysis in this high-risk population.
Does valve surgery improve survival and quality of life in patients older than 75 years?
Population
147 consecutive patients older than 75 years undergoing valve surgery
Design
Observational cohort study
Follow-up
Mean 30+/-13 months (range, 2 to 55 months)
Authors
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Supports valve surgery consideration in selected patients >75 years; leaves open need for RCTs to confirm benefit.
Observational (n=147)
Does valve surgery improve survival and quality of life in patients older than 75 years?
Valve surgery in patients older than 75 years is associated with acceptable early mortality and provides excellent long-term survival and quality of life.
Shapira et al. (1997) conducted an observational in Valve disease (n=147). Valve surgery vs. General matched population (Life Tables) was evaluated on 30-day hospital mortality. Valve surgery in patients older than 75 years was associated with a 30-day hospital mortality of 7.5% and an actuarial survival at 55 months of 71%, with excellent long-term quality of life.
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