Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Functional capacity after cardiac surgery in elderly patients

A A Jaeger1, M A Hlatky, S M Paul

  • 1School of Nursing, University of California, San Francisco.

Journal of the American College of Cardiology
|July 1, 1994
PubMed
Summary

Cardiac surgery significantly enhances functional capacity in patients over 70. Preoperative factors and postoperative complications influence outcomes, guiding personalized treatment strategies for older adults undergoing cardiac procedures.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Reply: proton-pump inhibitor use and the risk of first-time ischemic stroke in the general population.

Journal of internal medicine·2017
Same author

Long-term use of proton pump inhibitors, dose-response relationship and associated risk of ischemic stroke and myocardial infarction.

Journal of internal medicine·2017
Same author

Coronary artery bypass graft type and outcomes in maintenance dialysis.

The Journal of cardiovascular surgery·2013
Same author

Population-wide educational strategies for serum cholesterol reduction are cost-effective.

Evidence-based cardiovascular medicine·2005
Same author

An evaluation of beta-blockers, calcium antagonists, nitrates, and alternative therapies for stable angina.

Evidence report/technology assessment (Summary)·2002
Same author

Potential cost-effectiveness of prophylactic use of the implantable cardioverter defibrillator or amiodarone after myocardial infarction.

Annals of internal medicine·2001

Area of Science:

  • Geriatric Cardiology
  • Cardiovascular Surgery Outcomes
  • Quality of Life in Elderly Patients

Background:

  • Increasing use of cardiac surgery in older adults.
  • Controversy regarding surgical effectiveness in the elderly population.

Purpose of the Study:

  • Determine if cardiac surgery improves functional capacity in patients over 70.
  • Identify factors predicting functional outcomes post-surgery in this demographic.

Main Methods:

  • Assessed self-reported functional capacity using the Duke Activity Status Index.
  • Evaluated 199 patients (mean age 76) preoperatively and 1 year post-cardiac surgery (coronary artery bypass or valve replacement).

Main Results:

  • Significant improvement in functional capacity observed 1 year after surgery (mean Duke Activity Status Index increase from 27.9 to 36.8, p < 0.001).

Related Experiment Videos

  • 74% of patients experienced functional improvements.
  • Independent predictors of less improvement included smoking, female gender, higher Charlson comorbidity index, syncope, prior cardiac surgery, and older age.
  • Postoperative complications significantly predicted lower functional capacity at 1 year.

    • Conclusions:

    • Cardiac surgery leads to meaningful functional capacity improvements in most elderly patients.
    • Clinical factors and postoperative complications can modify the extent of functional gains achievable.