We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Age influences outcomes in 70-year or older patients undergoing isolated coronary artery bypass graft surgery.
- Authors
da Rocha, Antônio Sérgio Cordeiro; Pittella, Felipe José Monassa; de Lorenzo, Andrea Rocha; Barzan, Valmir; Colafranceschi, Alexandre Siciliano; Brito, José Oscar Reis; de Mattos, Marco Antonio; da Silva, Paulo Roberto Dutra
- Abstract
Objective: To analyze the results of isolated on-pump coronary artery bypass graft surgery (CABG) in patients ≥ 70 years old in comparison to patients <70 years old. Methods: Patients undergoing isolated CABG were selected for the study. The patients were assigned into two groups: G1 (age ≥ 70 years old) and G2 (age <70 years old) The endpoints were in-hospital mortality, acute myocardial infarction (AMI), stroke, re-exploration for bleeding, intraaortic balloon pump for circulatory shock, respiratory complications, acute renal failure, mediastinitis, sepsis, atrial fibrillation, and complete atrioventricular block (CAVB). Results: A total of 1,033 were included in the study: G1 comprised 257 (24.8%) patients G2 776 (75.2%). Patients in G1 were more likely to have in-hospital mortality than in G2 (8.9% vs. 3.6%, respectively; P=0.001), while the incidence of AMI was similar (5.8% vs. 5.5%; P=0.87) in G2. More patients in G1 had re-exploration for bleeding (12.1% vs. 6.1%; P=0.003). Compared to G2, G1 had more incidences of respiratory complications (21.4% vs. 9.1%; P<0.001), mediastinitis (5.1% vs. 1.9%; P=0.013), stroke (3.9% vs. 1.3%; P=0.016), acute renal failure (7.8% vs. 1.3%; P<0.001), sepsis (3.9% vs. 1.9%;P=0.003), atrial fibrillation (15.6% vs. 9.8%; P=0.016), and CAVB (3.5% vs. 1.2%; P=0.023). There was no significant difference in the use of the intraaortic balloon pump. In the forward stepwise multivariate logistic.
- Subjects
CORONARY artery bypass; OLDER patients; TREATMENT effectiveness; CORONARY artery surgery; ACUTE kidney failure; RESPIRATORY therapy complications; MYOCARDIAL infarction treatment
- Publication
Brazilian Journal of Cardiovascular Surgery, 2012, Vol 27, Issue 1, p45
- ISSN
0102-7638
- Publication type
Article
- DOI
10.5935/1678-9741.20120008