Elective and urgent coronary surgery in octogenarians
Márcio Madeira1, Sara Ranchordás1, Giovanna Koukoulis1
1Hospital de Santa Cruz, Centro Hospitalar Lisboa Ocidental, Portugal.
Summary
Coronary artery bypass grafting is safe for octogenarians, offering similar long-term survival rates to the general population. This surgical myocardial revascularization significantly impacts survival in elderly patients.
Area of Science:
- Cardiovascular Surgery
- Geriatric Cardiology
- Outcomes Research
Background:
- Octogenarians represent a growing population undergoing cardiac procedures.
- Assessing the safety and efficacy of coronary artery bypass grafting (CABG) in this age group is crucial.
Purpose of the Study:
- To analyze the influence of CABG on early and late mortality in octogenarians.
- To compare survival rates of octogenarians after CABG with the age-adjusted general population.
Main Methods:
- 182 octogenarian patients underwent elective or urgent CABG between 2007 and 2014.
- Logistic regression identified in-hospital mortality predictors.
- One-sample log-rank test compared long-term survival with age-adjusted general population data.
Main Results:
- In-hospital mortality was 4.4%. Predictors included non-sinus rhythm and recent acute coronary syndrome.
- One-year survival was 86.2%, and five-year survival was 58.4%.
- No significant difference in survival was observed between the CABG group and the age-adjusted standard population (p=0.96).
Conclusions:
- Coronary artery bypass grafting is a safe procedure for octogenarians.
- CABG significantly impacts long-term survival in this elderly cohort.
- Five-year survival post-CABG in octogenarians mirrors that of the age-adjusted general population.
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