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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11120/17:43913235 RIV/00216208:11130/17:10364452 RIV/00064173:_____/17:N0000013 RIV/00669806:_____/17:10364452 a 3 dalších

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2017

Kód důvěrnosti údajů

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

Název periodika

Annals of Thoracic and Cardiovascular Surgery

ISSN

1341-1098

e-ISSN

—

Svazek periodika

23

Číslo periodika v rámci svazku

4

Stát vydavatele periodika

JP - Japonsko

Počet stran výsledku

8

Strana od-do

188-195

Kód UT WoS článku

000409257300004

EID výsledku v databázi Scopus

2-s2.0-85027833542