Preserved quality of life in octogenarians at early, mid, and late follow-up intervals irrespective of cardiac procedure.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Jayia, Parminderjit Kaur
Nevill, Alan M.
MetadataShow full item record
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.
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.
JournalSeminars in thoracic and cardiovascular surgery
- Non-elective cardiac surgery in octogenarians: Do these patients benefit in terms of clinical outcomes and quality of life?
- Authors: Deschka H, Müller D, Dell'Aquila A, Matthäus M, Erler S, Wimmer-Greinecker G
- Issue date: 2016 Apr
- Prolonged intensive care treatment of octogenarians after cardiac surgery: a reasonable economic burden?
- Authors: Deschka H, Schreier R, El-Ayoubi L, Erler S, Müller D, Alken A, Wimmer-Greinecker G
- Issue date: 2013 Sep
- Cardiac surgery in patients with liver cirrhosis: risk factors for predicting mortality.
- Authors: Lin CH, Hsu RB
- Issue date: 2014 Sep 21
- Postoperative Outcome of High-Risk Octogenarians Undergoing Cardiac Surgery: A Multicenter Observational Retrospective Study.
- Authors: Porizka M, Kunstyr J, Vanek T, Nejedly M, Buckova J, Mokrejs J, Mosna F
- Issue date: 2017 Aug 20
- Are octogenarians in good condition after cardiac valvular surgery?
- Authors: Sumi M, Ariyoshi T, Miura T, Hashimoto W, Hashizume K, Matsukuma S, Eishi K
- Issue date: 2014