Skip to the main content

Signa vitae : journal for intesive care and emergency medicine, Vol. 15 No. 1, 2019.

Original scientific paper

https://doi.org/10.22514/SV151.042019.10

Short- and long-term outcome of patients aged 65 and over after cardiac surgery

STJEPAN BARISIN ; Department of Cardiac Anesthesia and Intensive Care, Clinical Department of Anesthesiology, Reanimatology and Intensive Care, Referral Centre of the Ministry of Health for Hemodynamic Monitoring in Intensive Care of Surgical Patients, Dubrava University H
DANIJEL UNIC
HELENA OSTOVIC
MIROSLAV ZUPCIC
TONCI BOZIN
VIKTOR DUZEL
ANA BARISIN
JURE MIRAT

Full text: english pdf 143 Kb

page 70-74

downloads: 445

cite

Abstract

To analyze the short and long-term outcome of patients aged 65 years and over, after cardiac surgery. Over a 12-year period we analyzed 1750 patients with a mean age of 70.09 3.94 years. They were classified into three age groups: between 65 and 69 (n = 709), between 70 and 74 (n = 695) and 75 years and above (n = 346). Follow-up information was obtained by telephone conversation after a 6-month and 3-year period of discharge from the hospital. Included in the follow-up were 1235 patients and an interview was conducted with 501 (40.6%) patients or their next of kin.

Even though the in-hospital morbidity was highest in the oldest age group, there were no significant differences between groups (p = 0.051). There was no significant difference between groups in the length of hospital stay. The greatest in-hospital mortality was noted in the oldest age group (p = 0.046) compared to patients in the age groups between 65 and 69 and between 70 and 74 years old (p = 0.023 and p = 0.036). In the follow-up study, there was a significantly smaller telephone feedback response in the oldest age group compared to the youngest group (p = 0.003). There were no differences between the groups with respect to mortality and cardiac death after the 6-month and 3-year periods of discharge from hospital.

Our data showed that despite a poor short – and long-term outcome in patients aged 75 and over, all patients had an acceptable operative risk.

Keywords

elderly; outcome; cardiac surgery

Hrčak ID:

219768

URI

https://hrcak.srce.hr/219768

Publication date:

1.5.2019.

Visits: 1.342 *