In-hospital and long-term outcomes after open-heart surgery in turkish octogenarians: a single-center study
Rev. bras. cir. cardiovasc
;
36(1): 64-70, Jan.-Feb. 2021. tab, graf
Article
in English
| LILACS
| ID: biblio-1155785
ABSTRACT
Abstract Objective:
We aimed to analyze the early and long-term results of open-heart surgery in Turkish patients aged 80 years or older who were operated on at our center.Methods:
All patients aged 80 years or older who underwent surgery between January 2000 and December 2013 at a high-level heart center were included in the study. The in-hospital data of study patients were obtained from the electronic database and from the hospital files. Survival data were analyzed as a long-term outcome.Results:
A total of 245 patients aged 80-93 years were evaluated in the study. The patients were followed up 5.4±3.7 years after open-heart surgery. In-hospital mortality rates were 10% in elective cases and 15.1% overall. Age ≥85 years, chronic kidney disease, chronic obstructive pulmonary disease, and emergency surgery were independent predictors of in-hospital mortality. The median survival time was found to be 4.4±0.3 years for all participants. The long-term survival of patients who underwent emergency cardiac surgery was significantly lower than that of elective patients (log-rank <0.001).Conclusion:
Octogenarians have satisfactory long-term outcomes after open-heart surgery when operated electively. On the other hand, patients operated under emergency conditions have worse in-hospital outcomes and long-term follow-up results.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Pulmonary Disease, Chronic Obstructive
/
Cardiac Surgical Procedures
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Aged
/
Aged80
/
Humans
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2021
Type:
Article
Affiliation country:
Turkey
Institution/Affiliation country:
Bezmialem Vakif University/TR
/
Kartal Kosuyolu Research and Education Hospital/TR
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