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[Cardiac surgery in octogenarians].

Per Erling Dahl1, Lasse Andreassen

  • 1Avdeling for hjerte-, lunge- og karkirurgi, Universitetssykehuset Nord-Norge, Postboks 102, 9038 Troms. per.erling.dahl@unn.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|June 25, 2003
PubMed
Summary

Cardiac surgery in octogenarians offers significant benefits, with carefully selected patients experiencing improved health and quality of life. This study shows reasonable risks and positive long-term outcomes for elderly patients undergoing these procedures.

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Area of Science:

  • Cardiology
  • Geriatric Medicine
  • Surgical Outcomes

Context:

  • Growing number of octogenarians undergoing cardiac surgery.
  • Limited data on short- and long-term results for this demographic.
  • Need for evidence-based guidelines for elderly cardiac surgery patients.

Purpose:

  • To evaluate the short- and long-term outcomes of cardiac surgery in octogenarians.
  • To identify predictors of mortality and complications in this patient group.
  • To assess the impact of cardiac surgery on functional status and quality of life in elderly patients.

Summary:

  • Retrospective analysis of 47 octogenarians (aged 80-87.5 years) undergoing cardiac surgery.
  • Operative mortality was 10.5%, with prolonged cardiopulmonary bypass time as a predictor of early death.

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  • 5-year survival was 60%, and 92% of patients reported improved health, with 86.5% in NYHA class I or II at follow-up.

    • Impact:

    • Strict patient selection allows octogenarians to undergo cardiac surgery with acceptable risk.
    • Cardiac surgery significantly improves functional status and quality of life in selected elderly patients.
    • Findings support the consideration of cardiac surgery for well-selected octogenarian patients to enhance long-term well-being.