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Related Experiment Videos

Cardiac surgery in nonagenarians.

A Hovanesyan1, M R Moon, M W Rich

  • 1Department of Internal Medicine, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, MO 63110, USA.

The Journal of Cardiovascular Surgery
|October 20, 2007
PubMed
Summary
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Cardiac surgery in nonagenarians (patients 90+ years) shows acceptable short-term complications and long-term survival. Careful patient selection is key for successful outcomes in this elderly population.

Area of Science:

  • Cardiology
  • Geriatric Medicine
  • Surgical Outcomes Research

Background:

  • Cardiac surgery in nonagenarians (patients aged 90 years and older) is increasingly considered.
  • Outcomes and survival rates in this extremely elderly demographic require careful evaluation.
  • Understanding comorbidities and operative risks is crucial for patient selection.

Purpose of the Study:

  • To evaluate the outcomes of cardiac surgery in patients aged 90 years and older.
  • To assess short-term complication rates and long-term survival following these procedures.
  • To identify predictors of hospital stay in this patient cohort.

Main Methods:

  • Retrospective analysis of 22 patients aged 90+ undergoing cardiac surgery between 1996-2006.
  • Data collected on demographics, comorbidities, procedures, and postoperative complications.

Related Experiment Videos

  • Late survival determined using the Social Security Death Index.

    • Main Results:

    • The cohort (mean age 91) had high rates of hypertension (91%) and heart failure (65%).
    • Intraoperative mortality was 5%. Common complications included atrial fibrillation and vasopressor use.
    • 30-day, 90-day, and 1-year survival rates were 86%, 77%, and 64%, respectively. 32% were alive at 4.1 years.

    Conclusions:

    • Cardiac surgery in carefully selected nonagenarians can yield acceptable short-term complication rates.
    • Long-term survival outcomes in this population appear to be favorable despite inherent risks.
    • Higher serum creatinine and heart failure presence predicted longer hospital stays.