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Cause of late death after cardiac surgery in the very elderly: a single institution experience.

Sjögren, Johan LU and Thulin, Lars LU (2002) In Scandinavian Cardiovascular Journal1997-01-01+01:00 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)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Cardiovascular Journal1997-01-01+01:00
volume
36
issue
2
pages
123 - 128
publisher
Taylor & Francis
external identifiers
  • wos:000175954500013
  • scopus:0036258867
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
2007-07-02 16:19:49
date last changed
2017-01-01 06:50:19
@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 Journal1997-01-01+01:00},
  title        = {Cause of late death after cardiac surgery in the very elderly: a single institution experience.},
  url          = {http://dx.doi.org/10.1080/140174302753675429},
  volume       = {36},
  year         = {2002},
}