Cardiac surgery in 260 octogenarians: A case series

Mara M. Scandroglio, Gabriele Finco, Marina Pieri, Roberto Ascari, Grazia G. Calabrò, Daiana Taddeo, Francesca Isella, Annalisa Franco, Mario Musu, Giovanni Landoni, Ottavio Alfieri, Alberto Zangrillo

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The elderly undergo cardiac surgery more and more frequently, often present multiple comorbidities, assume chronic therapies, and present a unique physiology. Aim of our study was to analyze the experience of a referral cardiac surgery center with all types of cardiac surgery interventions performed in patients ≥80 years old over a six years' period. Methods: A retrospective observational study performed in a university hospital. 260 patients were included in the study (3.5% of the patients undergoing cardiac surgery in the study period). Results: Mean age was 82 ± 1.8 years. Eighty-five percent of patients underwent elective surgery, 15% unplanned surgery and 4.2% redo surgery. Intervention for aortic valve pathology and coronary artery bypass grafting were performed in 51% and 46% of the patients, respectively. Interventions involving the mitral valve were the 26% of the total, those on the tricuspid valve were 13% and those on the ascending aortic arch the 9.6%. Postoperative low output syndrome was identified in 44 patients (17%). Mortality was 3.9% and most of the patients (91%) were discharged from hospital in good clinical conditions. Hospital mortality was lower in planned vs unplanned surgery: 3.8% vs 14% respectively. Chronic obstructive pulmonary disease (OR 9.106, CI 2.275 - 36.450) was the unique independent predictor of mortality. Conclusions: Clinicians should be aware that cardiac surgery can be safely performed at all ages, that risk stratification is mandatory and that hemodynamic treatment to avoid complications is expected.

Original languageEnglish
Article number15
JournalBMC Anesthesiology
Volume15
Issue number1
DOIs
Publication statusPublished - Dec 26 2015

Keywords

  • Anesthesia
  • Cardiac surgery
  • Complications
  • Intensive care
  • Mortality
  • Octogenarian

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Fingerprint

Dive into the research topics of 'Cardiac surgery in 260 octogenarians: A case series'. Together they form a unique fingerprint.

Cite this