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M Biçer1, B Ozdemir, R Işçimen
1Uludaeth University Medical Faculty, Department of Cardiovascular Surgery, Görükle, 16059 Bursa Turkey. mbicer23@yahoo.com
The Open Cardiovascular Medicine Journal
|June 24, 2009
Summary
Off-pump coronary bypass grafting is a safe procedure for elderly patients, demonstrating low mortality and morbidity. Patients reported a high quality of life post-operation, indicating successful outcomes.
Area of Science:
- Cardiovascular Surgery
- Geriatric Medicine
- Surgical Outcomes
Background:
- Elderly patients present unique challenges for cardiac surgery.
- Off-pump coronary bypass grafting (OPCABG) aims to reduce surgical risks.
Purpose of the Study:
- To evaluate the postoperative results of OPCABG in elderly patients.
- To assess the quality of life and safety of OPCABG in this demographic.
Main Methods:
- Retrospective analysis of 173 patients aged 70+ undergoing isolated coronary bypass.
- One-month follow-up for all patients; quality of life assessed using EuroQoL in 91 patients.
- Comparison of outcomes between age groups (70-74 and ≥75 years).
Main Results:
- In-hospital mortality was 6% (11 of 173 patients).
- Mean follow-up for quality of life assessment was 46.3 months.
- High quality of life reported: mobility (75%), self-care (87%), usual activities (81%), pain/discomfort (92%), anxiety/depression (89%).
Conclusions:
- Off-pump coronary bypass grafting is a safe and effective option for elderly patients.
- The procedure is associated with low morbidity and mortality.
- Elderly patients undergoing OPCABG can achieve a high quality of life.
