We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
In-Hospital and Long-Term outcomes after Open-Heart Surgery in Turkish Octogenarians: a Single-Center Study.
- Authors
Aksüt, Mehmet; Günay, Deniz; Özer, Tanıl; Altaş Yerlikhan, Özge; Selçuk, Emre; Kaan Kırali, Mehmet
- Abstract
Objective: We aimed to analyze the early and long-term results of open-heart surgery in Turkish patients aged 80 years or older who were operated on at our center. Methods: All patients aged 80 years or older who underwent surgery between January 2000 and December 2013 at a high-level heart center were included in the study. The in-hospital data of study patients were obtained from the electronic database and from the hospital files. Survival data were analyzed as a long-term outcome. Results: A total of 245 patients aged 80-93 years were evaluated in the study. The patients were followed up 5.4±3.7 years after open-heart surgery. In-hospital mortality rates were 10% in elective cases and 15.1% overall. Age ≥85 years, chronic kidney disease, chronic obstructive pulmonary disease, and emergency surgery were independent predictors of in-hospital mortality. The median survival time was found to be 4.4±0.3 years for all participants. The long-term survival of patients who underwent emergency cardiac surgery was significantly lower than that of elective patients (log-rank <0.001). Conclusion: Octogenarians have satisfactory long-term outcomes after open-heart surgery when operated electively. On the other hand, patients operated under emergency conditions have worse in hospital outcomes and long-term follow-up results.
- Subjects
CARDIAC surgery; GERIATRIC surgery; OBSTRUCTIVE lung diseases; SURGICAL emergencies; CHRONIC kidney failure; HOSPITAL mortality
- Publication
Brazilian Journal of Cardiovascular Surgery, 2021, Vol 36, Issue 1, p64
- ISSN
0102-7638
- Publication type
Article
- DOI
10.21470/1678-9741-2020-0013