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Cause of late death after cardiac surgery in the very elderly: a single institution experience

Johan Sjögren1, Lars I Thulin

  • 1Department of Cardiothoracic Surgery, Heart and Lung Division, University Hospital, Lund, Sweden. johan.sjogren@thorax.lu.se

Scandinavian Cardiovascular Journal : SCJ
|May 25, 2002
PubMed

Insights

Long-term survival after cardiac surgery in octogenarians is feasible, with cardiac-related deaths being the primary cause of late mortality. This study reviewed survival and causes of death in elderly patients undergoing heart procedures.

Area of Science:

  • Cardiology
  • Geriatric Medicine
  • Cardiac Surgery

Background:

  • Increasing referrals of elderly patients for cardiac surgery.
  • Need to understand long-term outcomes in this demographic.

Purpose of the Study:

  • Review long-term survival in octogenarians post-cardiac surgery.
  • Identify causes of late mortality in this patient group.

Main Methods:

  • Retrospective study of 130 octogenarians (1990-1993).
  • 100% complete follow-up (mean 5.4 years).
  • Analysis of hospital mortality, actuarial survival, and causes of late death.

Main Results:

  • Hospital mortality was 3.8%.
  • 1-year and 5-year actuarial survival rates were 90.0% and 62.3%, respectively.
  • Higher age, poor ejection fraction, renal insufficiency, and combined procedures predicted postoperative death.

Conclusions:

  • Cardiac-related mortality is the predominant cause of late death in octogenarians after cardiac surgery.
  • Long-term survival is achievable, but cardiac causes remain significant.
Abstract

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