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- Title
Type A aortic dissection in the elderly: One additional reason to pursue healthy ageing.
- Authors
Amabile, Andrea; Geirsson, Arnar
- Abstract
Ageing correlates with increased likelihood of undesired outcomes after cardiac surgery due to patients' frailty and impairment in functional autonomy, ability, and reserve.1 In patients undergoing surgery for type A acute aortic dissection (TAAAD), age >= 70 years is a renown independent predictor for mortality.2 Additionally, octogenarians affected by TAAAD have been shown to face a higher cumulative incidence of postoperative major cardiac events, cerebrovascular events, and respiratory failure when compared to younger patients.3 Yet, it has also been demonstrated that no significant differences in complication rates and in-hospital mortality rates can be detected between octogenarians and non-octogenarian patients.4 Thus, the role of age-related covariates and confounders in influencing TAAAD surgical outcomes remains debated. They also showed that patients with postoperative walking difficulty had significant worse late mortality rates compared with patients without it ( I p i < .001). 6 Zanini M, Nery RM, De Lima JB, Buhler RP, Da Silveira AD, Stein R. Effects of different rehabilitation protocols in inpatient cardiac rehabilitation after coronary artery bypass graft surgery: a randomized clinical trial.
- Subjects
AORTIC dissection; AGING; OLDER people; CORONARY artery bypass; ELECTIVE surgery
- Publication
Journal of Cardiac Surgery, 2021, Vol 36, Issue 8, p2765
- ISSN
0886-0440
- Publication type
Article
- DOI
10.1111/jocs.15616