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Original Research

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Short- and long-term outcome of patients aged 65 and over after cardiac surgery 

  • STJEPAN BARISIN1,7
  • DANIJEL UNIC2
  • HELENA OSTOVIC1,7
  • MIROSLAV ZUPCIC3
  • TONCI BOZIN4
  • VIKTOR DUZEL5
  • ANA BARISIN7
  • JURE MIRAT7

1Clinical Department of Anesthesiology, Reanimatology and Intensive Care, Referral Centre of the Ministry of Health for Hemodynamic Monitoring in Intensive Care of Surgical Patients, Dubrava University Hospital, Zagreb, Croatia

2 Department of Cardiac Surgery and Transplantation, University Department of Surgery, Dubrava University Hospital, Zagreb

3 Clinical Department of Anesthesiology, Reanimatology and Intensive Care, Clinical Hospital Center Rijeka

4 University Department of Medicine, Dubrava University Hospital, Zagreb

5 Department of Anaesthesia, Barking, Havering and Redbridge University Hospitals NHS Trust, London, United Kingdom

6 Department of Medicine, Medikol Polyclinic, Zagreb

7 Faculty of Medicine, University J.J. Strossmayer Osijek, Osijek

DOI: 10.22514/SV151.042019.10 Vol.15,Issue 1,April 2019 pp.70-74

Published: 23 April 2019

*Corresponding Author(s): STJEPAN BARISIN E-mail: sbarisin@gmail.com

Abstract

To analyze the short and long-term out-come of patients aged 65 years and over, af-ter cardiac surgery. Over a 12-year period we analyzed 1750 patients with a mean age of 70.09 ± 3.94 years. They were classified into three age groups: between 65 and 69 (n = 709), between 70 and 74 (n = 695) and 75 years and above (n = 346). Follow-up information was obtained by telephone conversation after a 6-month and 3-year period of discharge from the hospital. In-cluded in the follow-up were 1235 patients and an interview was conducted with 501 (40.6%) patients or their next of kin. Even though the in-hospital morbidity was highest in the oldest age group, there were no significant differences between groups (p = 0.051). There was no significant dif-ference between groups in the length of hospital stay. The greatest in-hospital mor-tality was noted in the oldest age group (p = 0.046) compared to patients in the age groups between 65 and 69 and between 70 and 74 years old (p = 0.023 and p = 0.036). In the follow-up study, there was a significantly smaller telephone feedback response in the oldest age group compared to the youngest group (p = 0.003). There were no differences between the groups with respect to mortality and cardiac death after the 6-month and 3-year periods of discharge from hospital. 

Our data showed that despite a poor short – and long-term outcome in patients aged 75 and over, all patients had an acceptable operative risk.

Keywords

elderly; outcome; cardiac surgery

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STJEPAN BARISIN,DANIJEL UNIC,HELENA OSTOVIC,MIROSLAV ZUPCIC,TONCI BOZIN,VIKTOR DUZEL,ANA BARISIN,JURE MIRAT. Short- and long-term outcome of patients aged 65 and over after cardiac surgery . Signa Vitae. 2019. 15(1);70-74.

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