BACKGROUND: There are almost three million octogenarians living in France, many of whom present with a coronaropathy. Moreover, it appears that life expectancy at 80 years of age is still important. OBJECTIVE: To evaluate the results of coronary surgery among these patients. METHODS: Eighty-eight consecutive octogenarians who had an isolated coronary artery bypass surgery between 1996 and 2002 were compared with 165 patients 60 to 70 years of age; the two groups had been paired according to the main risk factors. Patients were contacted by telephone and then received a quality-of-life-related questionnaire. RESULTS: Operative mortality was 2.3% in the octogenarian versus 1.2% in the 60- to 70-year-old group (P not significant). There was more low cardiac output syndrome, postoperative acute renal failure and transfusion in octogenarians. Long-term survival (average duration of follow-up was 3.8 years) was higher in the 60- to 70-year-old group: 89.7% versus 77.9% (P=0.025). Four independent risk factors of long-term increased mortality were found: age, diabetes, history of stroke and postoperative blood transfusion. Finally, the long-term survival in the octogenarians who had this surgery was higher than in the octogenarians of the general French population to a significant degree, with a quality of life considered to be satisfactory. CONCLUSION: For selected octogenarians, an isolated coronary surgery can be proposed, with short- and long-term results comparable with those of a younger population.
BACKGROUND: There are almost three million octogenarians living in France, many of whom present with a coronaropathy. Moreover, it appears that life expectancy at 80 years of age is still important. OBJECTIVE: To evaluate the results of coronary surgery among these patients. METHODS: Eighty-eight consecutive octogenarians who had an isolated coronary artery bypass surgery between 1996 and 2002 were compared with 165 patients 60 to 70 years of age; the two groups had been paired according to the main risk factors. Patients were contacted by telephone and then received a quality-of-life-related questionnaire. RESULTS: Operative mortality was 2.3% in the octogenarian versus 1.2% in the 60- to 70-year-old group (P not significant). There was more low cardiac output syndrome, postoperative acute renal failure and transfusion in octogenarians. Long-term survival (average duration of follow-up was 3.8 years) was higher in the 60- to 70-year-old group: 89.7% versus 77.9% (P=0.025). Four independent risk factors of long-term increased mortality were found: age, diabetes, history of stroke and postoperative blood transfusion. Finally, the long-term survival in the octogenarians who had this surgery was higher than in the octogenarians of the general French population to a significant degree, with a quality of life considered to be satisfactory. CONCLUSION: For selected octogenarians, an isolated coronary surgery can be proposed, with short- and long-term results comparable with those of a younger population.
Authors: K P Alexander; K J Anstrom; L H Muhlbaier; R D Grosswald; P K Smith; R H Jones; E D Peterson Journal: J Am Coll Cardiol Date: 2000-03-01 Impact factor: 24.094
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Authors: V G Dávila-Román; S F Murphy; N J Nickerson; N T Kouchoukos; K B Schechtman; B Barzilai Journal: J Am Coll Cardiol Date: 1999-04 Impact factor: 24.094
Authors: R J Morris; M D Strong; K E Grunewald; M L Kuretu; L E Samuels; J Y Kresh; S K Brockman Journal: Ann Thorac Surg Date: 1996-07 Impact factor: 4.330
Authors: M Ricci; H L Karamanoukian; R Abraham; K Von Fricken; G D'Ancona; S Choi; J Bergsland; T A Salerno Journal: Ann Thorac Surg Date: 2000-05 Impact factor: 4.330