[Cardiac surgery in octogenarians: current situation and future perspectives].

Area of Science:

• Cardiology
• Geriatric Medicine
• Surgical Outcomes

Context:

• Increasing life expectancy leads to more frequent cardiac surgery in octogenarians.
• This study evaluates the specific characteristics and outcomes of elderly patients undergoing cardiac procedures.

Purpose:

• To assess the preoperative risk factors, in-hospital morbimortality, and long-term survival of octogenarian cardiac surgery patients.
• To compare outcomes of octogenarians with younger patient cohorts.

Summary:

• Octogenarians undergoing cardiac surgery present more comorbidities and require longer hospital stays, with a 15.8% mortality rate.
• Key predictors of mortality include urgent procedures, mitral valve surgery, and postoperative complications.
• Long-term survival at 5 years was 69.20%, with most survivors reporting good functional class and satisfaction.

Impact:

• Cardiac surgery in octogenarians is feasible with acceptable mortality and good long-term quality of life.
• Identifies specific risk factors for mortality and morbidity, guiding targeted interventions.
• Highlights the need for optimized preoperative and postoperative care to mitigate risks in this population.