Postoperative Outcome of High-Risk Octogenarians Undergoing Cardiac Surgery: A Multicenter Observational Retrospective Study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F17%3A10364452" target="_blank" >RIV/00216208:11110/17:10364452 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11120/17:43913235 RIV/00216208:11130/17:10364452 RIV/00064173:_____/17:N0000013 RIV/00669806:_____/17:10364452 and 3 more

Result on the web

<a href="http://dx.doi.org/10.5761/atcs.oa.16-00280" target="_blank" >http://dx.doi.org/10.5761/atcs.oa.16-00280</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.5761/atcs.oa.16-00280" target="_blank" >10.5761/atcs.oa.16-00280</a>

Result language

angličtina

Original language name

Postoperative Outcome of High-Risk Octogenarians Undergoing Cardiac Surgery: A Multicenter Observational Retrospective Study

Original language description

Purpose: Cardiac surgery in octogenarians with severely deteriorated functional status is increasingly common, but outcome data are still limited. The aim of this study was to compare postoperative outcome, survival, and quality of life of low-,medium-, and high-risk octogenarians undergoing cardiac surgery. Methods: In all, 285 Czech octogenarians who underwent any cardiac surgical procedure between January 2011 and December 2012 were included in the study. Five out of all twelve national adult cardiac surgical centers participated in the study, representing almost half of all octogenarians operated in our country in that period. Patients&apos; perioperative data were analyzed retrospectively. Follow-up was performed by interviewing patients by telephone. Results: There was higher 30-day mortality (20% vs. 6.4% vs. 5.2%, respectively, p &lt;0.001), lower 2-year survival (60% vs. 84.0% vs. 85.4%, respectively, p &lt;0.05), and lower Karnofsky score (44.4 vs. 70.1 vs. 70.6, respectively, p &lt;0.001) in high-risk group compared with medium-and low-risk groups, respectively. Greater improvement in New York Heart Association (NYHA) status was noted in high-and medium-risk groups compared with low-risk group (51% vs. 45% vs. 24%, respectively, p &lt;0.05). Conclusion: High perioperative mortality, poor 2-year survival, and low postoperative quality of life have been observed in high-risk octogenarians undergoing cardiac surgery.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Annals of Thoracic and Cardiovascular Surgery

ISSN

1341-1098

e-ISSN

—

Volume of the periodical

23

Issue of the periodical within the volume

4

Country of publishing house

JP - JAPAN

Number of pages

8

Pages from-to

188-195

UT code for WoS article

000409257300004

EID of the result in the Scopus database

2-s2.0-85027833542