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Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
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Does coronary artery bypass grafting improve quality of life in elderly patients?

Kamran Baig1, Leanne Harling, Joseph Papanikitas

  • 1Department of Surgery and Cancer, Imperial College London, London, UK.

Interactive Cardiovascular and Thoracic Surgery
|May 29, 2013
PubMed

Insights

Coronary artery bypass grafting (CABG) in elderly patients significantly improves health-related quality of life (HRQOL). This systematic review highlights HRQOL as a key outcome measure for this population.

Area of Science:

  • Cardiology
  • Geriatric Medicine
  • Health Outcomes Research

Background:

  • Traditional mortality metrics may not fully capture benefits for elderly patients post-coronary artery bypass grafting (CABG).
  • Symptomatic relief and improved quality of life are often primary goals for surgical intervention in older adults.

Purpose of the Study:

  • To systematically review health-related quality of life (HRQOL) as an outcome measure following CABG in elderly patients.
  • To evaluate the utility of HRQOL tools in guiding surgical recommendations for this demographic.

Main Methods:

  • A systematic review of 23 studies involving 4793 patients undergoing CABG.
  • Analysis focused on health-related quality of life (HRQOL) outcomes.

Main Results:

  • Elderly patients undergoing CABG experienced a generally low risk profile.
  • Significant improvements in health-related quality of life (HRQOL) were observed post-CABG in the elderly population.

Conclusions:

  • Coronary artery bypass grafting (CABG) in elderly individuals is associated with substantial gains in health-related quality of life (HRQOL).
  • Future research should focus on developing more sensitive and specific HRQOL tools with rigorous follow-up for this population to address methodological limitations.

Keywords:
Coronary artery bypass graftingElderlyHealth-related quality of life

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