Key result
Cardiac valve surgery in octogenarians yields 5-year survival comparable to matched controls.
Why the study?
Survival and outcomes following valve surgery in octogenarians compared to an age-, sex-, and race-matched population were not well characterized.
Does cardiac valve surgery in octogenarians result in survival comparable to an age-, sex-, and race-matched population?
Population
54 patients over 80 years undergoing intracardiac valve surgery
Comparison
Octogenarian valve surgery patients vs age-, sex-, and race-matched population
Design
Cohort study
Follow-up
Mean 28.8 months after hospital discharge
Authors
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Substantial perioperative mortality in octogenarians undergoing valve surgery warrants cautious selection; leaves open applicability of modern techniques and risk stratification.
Cohort (n=54)
Does cardiac valve surgery in octogenarians result in survival comparable to an age-, sex-, and race-matched population?
Cardiac valve surgery in octogenarians yields a 5-year survival rate comparable to an age-, sex-, and race-matched population, suggesting it is a viable option for elderly patients.
McGrath et al. (1991) conducted a cohort in Cardiac valve disease requiring surgery (n=54). Cardiac valve surgery vs. Age-, sex-, and race-matched population was evaluated on Actuarial survival at 5 years. Cardiac valve surgery in octogenarians yielded a 5-year actuarial survival of 44%, showing no difference compared to an age-, sex-, and race-matched population.
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