Postoperative Outcome of High-Risk Octogenarians Undergoing Cardiac Surgery: A Multicenter Observational Retrospective Study

Purpose: Cardiac surgery in octogenarians with severely deteriorated functional status is increasingly common, but outcome data are still limited. The aim of this study was to compare postoperative outcome, survival, and quality of life of low-, medium-, and high-risk octogenarians undergoing cardia...

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Bibliographic Details
Published in:Annals of Thoracic and Cardiovascular Surgery 2017, Vol.23(4), pp.188-195
Main Authors: Porizka, Michal, Kunstyr, Jan, Vanek, Tomas, Nejedly, Michal, Buckova, Jana, Mokrejs, Jiri, Mosna, Frantisek
Format: Article
Language:English
Subjects:
Age Factors
Aged, 80 and over
cardiac surgery
Cardiac Surgical Procedures - adverse effects
Cardiac Surgical Procedures - mortality
Czech Republic
Female
Humans
Kaplan-Meier Estimate
Karnofsky Performance Status
Male
mortality
octogenarians
Original
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Postoperative Complications - mortality
Postoperative Complications - therapy
postoperative outcome
Proportional Hazards Models
Quality of Life
Retrospective Studies
Risk Assessment
Risk Factors
Time Factors
Treatment Outcome
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Summary:Purpose: Cardiac surgery in octogenarians with severely deteriorated functional status is increasingly common, but outcome data are still limited. The aim of this study was to compare postoperative outcome, survival, and quality of life of low-, medium-, and high-risk octogenarians undergoing cardiac surgery.Methods: In all, 285 Czech octogenarians who underwent any cardiac surgical procedure between January 2011 and December 2012 were included in the study. Five out of all twelve national adult cardiac surgical centers participated in the study, representing almost half of all octogenarians operated in our country in that period. Patients’ perioperative data were analyzed retrospectively. Follow-up was performed by interviewing patients by telephone.Results: There was higher 30-day mortality (20% vs. 6.4% vs. 5.2%, respectively, p
ISSN:1341-1098
2186-1005
DOI:10.5761/atcs.oa.16-00280