| Is urgent coronary artery bypass grafting a safe option in octogenarians? A developing country perspective. | |
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MedLine Citation:
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PMID: 19531534 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Life expectancy has increased during recent decades leading to a growing number of older population. The objective of this study was to evaluate the outcomes of coronary artery bypass grafting (CABG) in octogenarians and to compare the outcomes of the emergent CABG with elective surgery. Prospectively collected data from 31 consecutive octogenarian patients who underwent CABG between 1 January 2006 and 31 December 2008 were analyzed. Main outcomes of interest included mortality, length of ICU stay, length of hospital stay, priority of surgery, postoperative complications and functional status on follow-up. Fifteen patients were operated on an urgent basis. Patients operated on an urgent basis were in NYHA class III or IV preoperatively (P=0.0016). There were no significant differences in operative and postoperative variables. There were three in-hospital deaths and 23 patients (82%) were alive on follow-up and 19 were in functional class I or II. Quality of life assessment was performed using Seattle Angina Questionnaire and patients reported remarkable improvement in quality of life. Overall, 90% patients were not or slightly disabled in their daily activity. Satisfaction with their current quality of life was reported by 95% of patients. CABG may be performed in octogenarians with remarkable outcomes and improvement in quality of life. |
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Authors:
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Zubair Luqman; Junaid Ansari; Fahad Javaid Siddiqui; Shahid Ahmed Sami |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-06-16 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 9 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-08-18 Completed Date: 2009-10-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 441-5 Citation Subset: IM |
Affiliation:
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Department of Surgery, The Aga Khan University Hospital, Karachi 74800, Pakistan. zubair.luqman@aku.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Age Factors Aged, 80 and over Coronary Artery Bypass / adverse effects*, mortality Developing Countries* / statistics & numerical data Emergency Treatment Female Health Services for the Aged* / statistics & numerical data Hospital Mortality Humans Intensive Care Length of Stay Male Outcome and Process Assessment (Health Care)* / statistics & numerical data Pakistan Patient Satisfaction Quality of Life Questionnaires Retrospective Studies Risk Assessment Risk Factors Surgical Procedures, Elective Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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