Association between older age and outcome after cardiac surgery: a population-based cohort study

Journal of Cardiothoracic Surgery
Wei WangAPPROACH Investigators

Abstract

Octogenarians (aged ≥ 80 years) are increasingly being referred for cardiac surgery. We aimed to describe the morbidity, mortality, and health services utilization of octogenarians undergoing elective cardiac surgery. Retrospective population-based cohort study of adult patients receiving elective cardiac surgery between January 1 2004 and December 31 2009. Primary exposure was age ≥80 years. Outcomes were 30-day, 1- and 5-year mortality, post-operative complications, and ICU/hospital lengths of stay. Multi-variable logistic and Cox regression analyses were used to explore the association between older age and outcome. Of 6,843 patients receiving cardiac surgery, 544 (7.9%) were octogenarians. There was an increasing trend in the proportion of octogenarians undergoing surgery during the study period (0.3% per year, P = 0.073). Octogenarians were more likely to have combined procedures (valve plus coronary artery bypass or multiple valves) compared with younger strata (p < 0.001). Crude 30-day, 1-year and 5-year mortality for octogenarians were 3.7%, 10.8% and 29.0%, respectively. Compared to younger strata, octogenarians had higher adjusted 30-day (OR 4.83, 95%CI 1.30-17.92; P = 0.018) and 1-year mortality (OR 4.92; 95% CI, 2.3...Continue Reading

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Citations

Dec 2, 2015·Interactive Cardiovascular and Thoracic Surgery·Jan-Philipp MinolArtur Lichtenberg
Jan 5, 2019·Journal of Intensive Care·Inge T BootsmaE Christaan Boerma
Nov 9, 2017·Journal of the American Geriatrics Society·Timothy G Gaulton, Mark D Neuman
Oct 2, 2019·Journal of Cardiothoracic and Vascular Anesthesia·Alexander J GregoryJerrold H Levy
Sep 8, 2020·Critical Care Clinics·Ciana McCarthy, Nick Fletcher
May 22, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Antonio PisanoGiovanni Landoni
Nov 5, 2020·European Journal of Internal Medicine·Samuele BaldasseroniUNKNOWN Italian Society of Geriatric Cardiology (SICGe)
May 25, 2020·Annals of Physical and Rehabilitation Medicine·Derek King Wai YauAnna Lee
Feb 2, 2021·American Journal of Surgery·Jessica L MuellerMotaz Qadan
Nov 12, 2020·Minerva anestesiologica·Ciana McCARTHYNick Fletcher
May 10, 2021·The Journal of Thoracic and Cardiovascular Surgery·Stephanie LimSiamak Mohammadi
Apr 29, 2020·The Journal of Thoracic and Cardiovascular Surgery·Hjördis Osk AtladottirDorthe Viemose Nielsen

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Methods Mentioned

BETA
coronary artery bypass

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