| Benefits of cardiac surgery in octogenarians--a postoperative quality of life assessment. | |
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MedLine Citation:
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PMID: 17369044 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Assessment of postoperative quality of life in patients over 80 years after cardiac surgery including coronary artery bypass grafting (CABG), aortic valve replacement (AVR) and combined procedures. METHODS: Quality of life of n=136 patients over 80 years at operation (82.3+/-2.1 years), undergoing isolated CABG in 61 patients (45%), isolated AVR in 34 patients (25%) and a combination of CABG and AVR in 41 patients (30%) between January 1999 and December 2003 was reviewed. Preoperatively 66.2% presented in NYHA-class III/IV or CCS-class III/IV. Mean ejection fraction (EF) was 59.5%+/-14.0 (range 25-90%). Quality of life assessment was performed via a Seattle Angina Questionnaire. Follow-up was 100% complete for a total of 890 days (69-1853 days). RESULTS: Five-year survival was 70% for the CABG group, 75% for the AVR group and 65% for the CABG/AVR group. Quality of life was remarkable in all of the three groups after surgery. Overall 97 patients (81%) were not or little disabled in their daily activity. One hundred and twelve patients (93%) were free or considerably less symptomatic. Seventy-eight patients or 65% reported to be very satisfied with their current quality of life and 112 patients (93%) felt very reassured to have continuous full access to medical treatment despite of their advanced age. CONCLUSIONS: A remarkable quality of life and important improvement in the functional status after cardiac surgery in patients over 80 paired with a satisfactory medium-term survival justify early intervention for heart disease in this age group. Therefore, referral practice for patients over 80 years for heart surgery should be handled liberally. |
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Authors:
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Christoph H Huber; Volkhard Goeber; Pascal Berdat; Thierry Carrel; Friedrich Eckstein |
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Publication Detail:
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Type: Journal Article Date: 2007-03-19 |
Journal Detail:
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Title: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery Volume: 31 ISSN: 1010-7940 ISO Abbreviation: Eur J Cardiothorac Surg Publication Date: 2007 Jun |
Date Detail:
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Created Date: 2007-05-15 Completed Date: 2007-08-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8804069 Medline TA: Eur J Cardiothorac Surg Country: Germany |
Other Details:
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Languages: eng Pagination: 1099-105 Citation Subset: IM |
Affiliation:
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Division of Cardiovascular Surgery, University Hospital of Lausanne, Centre Hospitalier Universitaire Vaudois, 1011 Lausanne, Switzerland. Christoph.Huber@hospvd.ch |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Aged, 80 and over Aortic Valve / surgery Cardiac Surgical Procedures / methods*, mortality, psychology Coronary Artery Bypass / methods, mortality, psychology Female Heart Valve Prosthesis Implantation / methods, mortality, psychology Humans Kaplan-Meiers Estimate Male Patient Satisfaction Postoperative Complications / etiology, psychology Postoperative Period Quality of Life* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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