Cause of late death after cardiac surgery in the very elderly: a single institution experience.
(2002) In Scandinavian Cardiovascular Journal 36(2). p.123-128- Abstract
- OBJECTIVES: The referrals of elderly for cardiac surgery are increasing. The aim of this retrospective study is to review the long-term survival and to identify causes of late death in elderly after cardiac surgery. DESIGN: Between 1990 and 1993, 130 octogenarians underwent cardiac surgery in our department. A majority (88%) had elective surgery. One hundred and nine patients (84%) were in New York Heart Association functional class III or IV, preoperatively. Mean follow-up time was 5.4 +/- 2.5 years (range 0-10 years). Follow-up was 100% complete. RESULTS: Hospital mortality was 3.8% (5/130). Actuarial survival at 1 and 5 years were 90.0 +/- 2.6% (n = 117) and 62.3 +/- 4.3% (n = 81), respectively. Forty-six operative survivors died from... (More)
- OBJECTIVES: The referrals of elderly for cardiac surgery are increasing. The aim of this retrospective study is to review the long-term survival and to identify causes of late death in elderly after cardiac surgery. DESIGN: Between 1990 and 1993, 130 octogenarians underwent cardiac surgery in our department. A majority (88%) had elective surgery. One hundred and nine patients (84%) were in New York Heart Association functional class III or IV, preoperatively. Mean follow-up time was 5.4 +/- 2.5 years (range 0-10 years). Follow-up was 100% complete. RESULTS: Hospital mortality was 3.8% (5/130). Actuarial survival at 1 and 5 years were 90.0 +/- 2.6% (n = 117) and 62.3 +/- 4.3% (n = 81), respectively. Forty-six operative survivors died from cardiac-related death during follow-up. Multivariate predictors of postoperative death were higher age, poor left ventricular ejection fraction, preoperative renal insufficiency and combined surgical procedures. CONCLUSION: Our results in this paper indicate that cardiac-related mortality represents the majority of late deaths after cardiac surgery in octogenarians. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/108525
- author
- Sjögren, Johan LU and Thulin, Lars LU
- organization
- publishing date
- 2002
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Scandinavian Cardiovascular Journal
- volume
- 36
- issue
- 2
- pages
- 123 - 128
- publisher
- Taylor & Francis
- external identifiers
-
- wos:000175954500013
- scopus:0036258867
- pmid:12028877
- ISSN
- 1651-2006
- DOI
- 10.1080/140174302753675429
- language
- English
- LU publication?
- yes
- id
- eb3613c7-06db-4694-ab72-3d2e55fe223c (old id 108525)
- alternative location
- http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12028877&dopt=Abstract
- date added to LUP
- 2016-04-01 15:54:55
- date last changed
- 2022-01-28 08:00:34
@article{eb3613c7-06db-4694-ab72-3d2e55fe223c, abstract = {{OBJECTIVES: The referrals of elderly for cardiac surgery are increasing. The aim of this retrospective study is to review the long-term survival and to identify causes of late death in elderly after cardiac surgery. DESIGN: Between 1990 and 1993, 130 octogenarians underwent cardiac surgery in our department. A majority (88%) had elective surgery. One hundred and nine patients (84%) were in New York Heart Association functional class III or IV, preoperatively. Mean follow-up time was 5.4 +/- 2.5 years (range 0-10 years). Follow-up was 100% complete. RESULTS: Hospital mortality was 3.8% (5/130). Actuarial survival at 1 and 5 years were 90.0 +/- 2.6% (n = 117) and 62.3 +/- 4.3% (n = 81), respectively. Forty-six operative survivors died from cardiac-related death during follow-up. Multivariate predictors of postoperative death were higher age, poor left ventricular ejection fraction, preoperative renal insufficiency and combined surgical procedures. CONCLUSION: Our results in this paper indicate that cardiac-related mortality represents the majority of late deaths after cardiac surgery in octogenarians.}}, author = {{Sjögren, Johan and Thulin, Lars}}, issn = {{1651-2006}}, language = {{eng}}, number = {{2}}, pages = {{123--128}}, publisher = {{Taylor & Francis}}, series = {{Scandinavian Cardiovascular Journal}}, title = {{Cause of late death after cardiac surgery in the very elderly: a single institution experience.}}, url = {{http://dx.doi.org/10.1080/140174302753675429}}, doi = {{10.1080/140174302753675429}}, volume = {{36}}, year = {{2002}}, }