Adult Cardiac surgery in the elderly (octogenarians and above) - are we getting better?
Mourad, F., Srivastava, V., Khan, M., Duncan, A. (2015). Adult Cardiac surgery in the elderly (octogenarians and above) - are we getting better?. EKB Journal Management System, 2(2), 38-43. doi: 10.21608/ejgg.2015.5329
Faisal Mourad; Vivek Srivastava; M. Khan; Andrew Duncan. "Adult Cardiac surgery in the elderly (octogenarians and above) - are we getting better?". EKB Journal Management System, 2, 2, 2015, 38-43. doi: 10.21608/ejgg.2015.5329
Mourad, F., Srivastava, V., Khan, M., Duncan, A. (2015). 'Adult Cardiac surgery in the elderly (octogenarians and above) - are we getting better?', EKB Journal Management System, 2(2), pp. 38-43. doi: 10.21608/ejgg.2015.5329
Mourad, F., Srivastava, V., Khan, M., Duncan, A. Adult Cardiac surgery in the elderly (octogenarians and above) - are we getting better?. EKB Journal Management System, 2015; 2(2): 38-43. doi: 10.21608/ejgg.2015.5329

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, Page 38-43  XML PDF (1.02 MB)
Document Type: Original Article
DOI: 10.21608/ejgg.2015.5329
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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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