Preserved Quality of Life in Octogenarians at Early, Mid, and Late Follow-Up Intervals Irrespective of Cardiac Procedure.

2.50
Hdl Handle:
http://hdl.handle.net/2436/620464
Title:
Preserved Quality of Life in Octogenarians at Early, Mid, and Late Follow-Up Intervals Irrespective of Cardiac Procedure.
Authors:
Luckraz, Heyman; Nagarajan, Kumaresan; Chnaris, Akis; Jayia, Parminderjit Kaur; Muhammed, Israr; Mahboob, Sophia; Nevill, Alan M.
Abstract:
Cardiac surgery has become established in octogenarians over the past decade. This study assessed the quality of life (QOL) and survival in patients undergoing various cardiac procedures at various time intervals postoperative. Patients older than 80 years at the time of their cardiac procedure were initially included (n = 427). Patients were grouped according to the time interval from their operations namely as within 3 years postoperative (Group A), 3-5 years postoperative (Group B), and older than 5 years postoperative (Group C). Patients who were at least 2 years postoperative and who were still alive were sent the Medical Outcomes Study Short Form 12 Health Survey version 2 QOL questionnaire (n = 308). In results, there were no significant differences in the preoperative characteristics among the groups including type of surgery and logistic Euroscore. There were also no significant differences in the immediate postoperative phase in the complication rates except for renal replacement therapy (P < 0.01). At follow-up, a further 20 patients had died, and for those still alive 87% (61 of 70), 86% (86 of 100), and 74% (87 of 118) of patients returned questionnaire for each group, respectively. There were no significant differences in mental scores (P = 0.3) and physical scores (P = 0.07) among the groups at the various time intervals. This was irrespective of the type of surgery performed on multivariate analysis. Moreover, most octogenarians who underwent cardiac surgery had equivalent or better QOL than expected when compared with the general population of the same age and sex. In conclusion, the QOL in octogenarians undergoing cardiac surgery is preserved, irrespective of the interval from and the type of procedure. Octogenarians enjoy a good QOL, both physical and mental performance, irrespective of the time interval after surgery and the type of cardiac surgery that they have undergone. Based on these data, any type of cardiac surgery should still be an option in this age group including complex cardiac procedures.
Citation:
Preserved Quality of Life in Octogenarians at Early, Mid, and Late Follow-Up Intervals Irrespective of Cardiac Procedure., 28 (1):48-53 Semin. Thorac. Cardiovasc. Surg.
Publisher:
Elsevier
Journal:
Seminars in thoracic and cardiovascular surgery
Issue Date:
Feb-2016
URI:
http://hdl.handle.net/2436/620464
DOI:
10.1053/j.semtcvs.2016.01.002
PubMed ID:
27568134
Type:
Article
Language:
en
ISSN:
1532-9488
Appears in Collections:
Sport, Exercise and Health Research Group

Full metadata record

DC FieldValue Language
dc.contributor.authorLuckraz, Heymanen
dc.contributor.authorNagarajan, Kumaresanen
dc.contributor.authorChnaris, Akisen
dc.contributor.authorJayia, Parminderjit Kauren
dc.contributor.authorMuhammed, Israren
dc.contributor.authorMahboob, Sophiaen
dc.contributor.authorNevill, Alan M.en
dc.date.accessioned2017-05-09T11:19:46Z-
dc.date.available2017-05-09T11:19:46Z-
dc.date.issued2016-02-
dc.identifier.citationPreserved Quality of Life in Octogenarians at Early, Mid, and Late Follow-Up Intervals Irrespective of Cardiac Procedure., 28 (1):48-53 Semin. Thorac. Cardiovasc. Surg.en
dc.identifier.issn1532-9488-
dc.identifier.pmid27568134-
dc.identifier.doi10.1053/j.semtcvs.2016.01.002-
dc.identifier.urihttp://hdl.handle.net/2436/620464-
dc.description.abstractCardiac surgery has become established in octogenarians over the past decade. This study assessed the quality of life (QOL) and survival in patients undergoing various cardiac procedures at various time intervals postoperative. Patients older than 80 years at the time of their cardiac procedure were initially included (n = 427). Patients were grouped according to the time interval from their operations namely as within 3 years postoperative (Group A), 3-5 years postoperative (Group B), and older than 5 years postoperative (Group C). Patients who were at least 2 years postoperative and who were still alive were sent the Medical Outcomes Study Short Form 12 Health Survey version 2 QOL questionnaire (n = 308). In results, there were no significant differences in the preoperative characteristics among the groups including type of surgery and logistic Euroscore. There were also no significant differences in the immediate postoperative phase in the complication rates except for renal replacement therapy (P < 0.01). At follow-up, a further 20 patients had died, and for those still alive 87% (61 of 70), 86% (86 of 100), and 74% (87 of 118) of patients returned questionnaire for each group, respectively. There were no significant differences in mental scores (P = 0.3) and physical scores (P = 0.07) among the groups at the various time intervals. This was irrespective of the type of surgery performed on multivariate analysis. Moreover, most octogenarians who underwent cardiac surgery had equivalent or better QOL than expected when compared with the general population of the same age and sex. In conclusion, the QOL in octogenarians undergoing cardiac surgery is preserved, irrespective of the interval from and the type of procedure. Octogenarians enjoy a good QOL, both physical and mental performance, irrespective of the time interval after surgery and the type of cardiac surgery that they have undergone. Based on these data, any type of cardiac surgery should still be an option in this age group including complex cardiac procedures.en
dc.language.isoenen
dc.publisherElsevieren
dc.rightsArchived with thanks to Seminars in thoracic and cardiovascular surgeryen
dc.subjectCardiac Surgeryen
dc.subjectLong-term follow-upen
dc.subjectOctogenariansen
dc.subjectQuality of Lifeen
dc.subject.meshAge Factors-
dc.subject.meshAged, 80 and over-
dc.subject.meshCardiac Surgical Procedures-
dc.subject.meshChi-Square Distribution-
dc.subject.meshFemale-
dc.subject.meshGeriatric Assessment-
dc.subject.meshHeart Diseases-
dc.subject.meshHumans-
dc.subject.meshKaplan-Meier Estimate-
dc.subject.meshLogistic Models-
dc.subject.meshMale-
dc.subject.meshMultivariate Analysis-
dc.subject.meshOdds Ratio-
dc.subject.meshPostoperative Complications-
dc.subject.meshQuality of Life-
dc.subject.meshRisk Factors-
dc.subject.meshSurveys and Questionnaires-
dc.subject.meshTime Factors-
dc.subject.meshTreatment Outcome-
dc.titlePreserved Quality of Life in Octogenarians at Early, Mid, and Late Follow-Up Intervals Irrespective of Cardiac Procedure.en
dc.typeArticleen
dc.identifier.journalSeminars in thoracic and cardiovascular surgeryen

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