Benefits of cardiac surgery in octogenarians--a postoperative quality of life assessment

Details

Ressource 1Download: serval:BIB_714CF6AB527E.P001 (216.10 [Ko])
State: Public
Version: author
License: Not specified
It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
Serval ID
serval:BIB_714CF6AB527E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Benefits of cardiac surgery in octogenarians--a postoperative quality of life assessment
Journal
European Journal of Cardio-Thoracic Surgery
Author(s)
Huber  C. H., Goeber  V., Berdat  P., Carrel  T., Eckstein  F.
ISSN
1010-7940
Publication state
Published
Issued date
06/2007
Peer-reviewed
Oui
Volume
31
Number
6
Pages
1099-105
Notes
Journal Article --- Old month value: Jun
Abstract
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.
Keywords
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
Pubmed
Web of science
Open Access
Yes
Create date
29/01/2008 14:44
Last modification date
25/09/2019 6:09
Usage data