Determinants of operative mortality in octogenarians undergoing coronary bypass

Williams, Donald B.; Carrillo, Roger G.; Traad, Ernest A.; Wyatt, Charles H.; Grahowski, Robert; Wittels, S Howard; Ebra, George

doi:10.1016/0003-4975(95)00430-s

Cited by 97 publications

(38 citation statements)

References 14 publications

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“…In our case series, in agreement with observations of other authors [24][25][26] , the incidence of complications was relatively low, but the tolerance to complications of a patient older than 75 years is lower than that observed in younger patients. Three factors were important in this series in regard to mortality: prolonged mechanical ventilation, orotracheal reintubation, and early reoperation.…”

Section: Discussionsupporting

confidence: 93%

Revascularização do miocárdio sem circulação extracorpórea em pacientes acima de 75 anos: análise dos resultados imediatos

Milani¹,

Brofman²,

Varela³

et al. 2005

Arq. Bras. Cardiol.

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ObjectiveTo assess the immediate results of myocardial revascularization surgery without extracorporeal circulation in a group of patients over 75 years of age. December 2003, 193 (121 men and 72 women) Methods From January 2001 to ConclusionThe surgery adopted for myocardial revascularization was associated with a low mortality rate, a low complication index, and a short length of stay at the hospital. Keywords elderly, myocardial revascularization surgery, extracorporeal circulationThe increase in the elderly population in Brazil in recent years has led to a greater number of patients over the age of 70 years requiring myocardial revascularization surgery. However, over the years, advanced age has been considered a risk factor for morbidity and mortality in coronary artery surgeries 1,2 . The recent advances in myocardial revascularization surgeries without extracorporeal circulation, the technique recommended by Buffolo et al 3 and Benetti 4 at the beginning of the 1980s, has aroused interest in this type of surgery, especially in high-risk patients [5][6][7] .We retrospectively analyzed the immediate results of the myocardial revascularization surgery without extracorporeal circulation in patients over the age of 75 years.

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Section: Discussionsupporting

confidence: 93%

Revascularização do miocárdio sem circulação extracorpórea em pacientes acima de 75 anos: análise dos resultados imediatos

Milani¹,

Brofman²,

Varela³

et al. 2005

Arq. Bras. Cardiol.

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“…1,2 Previous single-centre reports from Canada [3][4][5] and from abroad 1,2,[6][7][8] have concluded that elderly patients undergoing cardiac surgery have worse outcomes than younger patients. In addition, these studies have reported higher costs and slower recovery for octogenarians undergoing CABG, a finding that has generated debate over the appropriate use of health care resources.…”

mentioning

confidence: 99%

Outcomes in octogenarians undergoing coronary artery bypass grafting

Baskett¹

2005

Canadian Medical Association Journal

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“…Stamou et al attributed higher operative mortality and morbidity to a higher rate of CHF and COPD, greater Canadian Cardiological Society class, lower ejection fraction, more severe coronary artery disease, higher percentage of female gender, and more urgent operations than their younger counterparts [1]. Also being more prevalent in octogenarians in the current study, congestive heart failure and renal dysfunction reportedly increase operative mortality [5,6].…”

Section: Discussionmentioning

confidence: 50%

Lumbosakral Radiküler Ağrı Tedavisinde Epidural Steroid İnjeksiyonu

Çelik¹

2016

J Contemp Med

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özetObjective: Increased risk for perioperative morbidity and mortality after beating heart coronary artery bypass grafting(CABG) in diabetic octogenarians and elderly can be in question. We aimed to compare the risk factors and the results of off-pump CABG between diabetic elderly and octogenarian groups. Methods:This study retrospectively enrolled 37 diabetic patients with an age equal to or greater than 65 years who underwent isolated OPCAB at our department . Twenty-five patients were between 65 and 75 years of age while 12 patients had an age equal to or greater than 76 years. Each study group was assessed for preoperative properties, operative characteristics, and postoperative outcomes. Results:Elderly patients had a significantly higher mean number of arterial anastomoses (p=0.045), body mass index (BMI) (P=0.001), number of smoking subjects (p=0.027), and number of subjects using ACE inhibitors (P=0.027) compared to the octogenarians. Octogenarians had a significantly greater mean number of venous grafts (1.5±0.61 vs 2.25±0.75, p= 0.008). Conclusions:People of advanced age have been increasingly operated with CABG operation as persons 80 years old or older live longer than previously expected. Off-pump CABG was a beneficial surgical coronary revascularization method for both elderly and octogenarian patients.Key words: elderly, octogenarians, diabetic, off-pump coronary artery bypass grafting Giriş: İleri yaş diabetik hastalarda koroner arter cerrahisine bağlı perioperatif mortalite ve morbidite riski mevcuttur. Çalışmamızda yaşlı ve ileri yaş diyabetik hasta gruplarında atan kalpte koroner arter cerrahisinin risk faktörlerini ve sonuçlarını karşılaştırmayı amaçladık. Gereç ve Yöntem:Bu çalışma hastanemizde geriye dönük olarak izole atan kalpte koroner cerrahisi yapılan 37 Diyabetik hasta yaş gruplarına göre 65 yaş ve üzeri olanlar alındı.Çalışmaya 65 -75 yaş arasında 25 hasta ve 76 yaş ve üzerinde 12 hasta dahil edildi. Grupların preoperatif ve operatif özellikleri ile ameliyat sonrası sonuçları karşılaştırıldı. Bulgular:Yaşlı hastalar, ileri yaşlı grubunda olan hastalarla karşılaştırıldığında ortalama arteryel anastomos sayısı(p=0.045),vücut kitle indeksi (P=0.001), sigara (p=0.027) ve ACE inhibitörlerini (p=0.027) kullananların sayıları istatistiksel olarak anlamlı yüksek bulundu. İleri yaşlı grubunda ise ortalama venöz anastomos sayısı (1.5±0.61 vs 2.25±0.75, p= 0.008) istatistiksel olarak anlamlı yüksek bulundu.

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Determinants of operative mortality in octogenarians undergoing coronary bypass

Cited by 97 publications

References 14 publications

Revascularização do miocárdio sem circulação extracorpórea em pacientes acima de 75 anos: análise dos resultados imediatos

Revascularização do miocárdio sem circulação extracorpórea em pacientes acima de 75 anos: análise dos resultados imediatos

Outcomes in octogenarians undergoing coronary artery bypass grafting

Lumbosakral Radiküler Ağrı Tedavisinde Epidural Steroid İnjeksiyonu

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