Adult Cardiac surgery in the elderly (octogenarians and above) - are we getting better? | ||
| The Egyptian Journal of Geriatrics and Gerontology | ||
| Article 7, Volume 2, Issue 2, October 2015, Pages 38-43 PDF (1.02 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejgg.2015.5329 | ||
| Authors | ||
| Faisal Mourad1; Vivek Srivastava2; M. Khan2; Andrew Duncan2 | ||
| 1Dept. of Cardiothoracic Surgery, Ain Shams University, Cairo | ||
| 2Dept. of Cardiothoracic Surgery, Victoria hospital, Blackpool | ||
| Abstract | ||
| Background: Cardiac surgery is being performed more f requently on the elderly. Wi th an over -stretched budget to care for an aging population, our objective was to determine i f we are getting better at managing these frai l patients. Methods: Insti tutional database was used to identi fy patients aged 80 or above undergoing cardiac surgery in Blackpool Victoria hospi tal NHS foundation t rust, UK between June1996 and June.2013. Outcomes between group 1(June1996-Dec.2008; n=472) were compared to Gro up 2(Jan.2009-June.2013; n=607) . Long-term survival was ascertained using NHS t racing -service. Results: Group 2 patients included more males and had higher mean age and higher addi tive and logistic EuroSCORE I. Operative mor tal i ty was signi ficantly improve d whi le other compl ication rates were simi lar. Overal l mean long- term survival was 114.1±4.1 months. Conclusions: In the past 4 years despi te the tight NHS budgets we have been able to double our workload of el de rl y pa ti en ts ’ p op ul a ti on a n d im pr ov e th ei r h ospi tal mortal i ty wi th expectation of good long -term survival . | ||
| Keywords | ||
| octogenarians; adult cardiac surgery | ||
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