Coronary Artery Bypass Grafting in Elderly Patients. In-Hospital Results and Long-Term Follow-up
Background. Taking into account the steady increase in the number of elderly patients requiring coronary artery bypass grafting, we sought to analyze the in-hospital and long-term evolution of a group of elderly patients (≥ 75 years) who underwent coronary artery bypass grafting, and to identify cli...
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todo:paper_03008932_v54_n6_p709_Gabe2023-10-03T15:17:55Z Coronary Artery Bypass Grafting in Elderly Patients. In-Hospital Results and Long-Term Follow-up Gabe, E.D. Favaloro, R.R. Favaloro, M.R. Raffaelli, H.A. Machaín, A.H. Abud, J.A. Dulbecco, E.A. García Ben, M. Toledo, D. Macchia, A. Aging Coronary artery disease Surgery age aged article coronary artery disease female heart muscle revascularization hospitalization human male mortality prospective study survival rate time Age Factors Aged Coronary Disease Female Hospitalization Humans Male Myocardial Revascularization Prospective Studies Survival Rate Time Factors Background. Taking into account the steady increase in the number of elderly patients requiring coronary artery bypass grafting, we sought to analyze the in-hospital and long-term evolution of a group of elderly patients (≥ 75 years) who underwent coronary artery bypass grafting, and to identify clinical predictors of mortality and long-term symptoms. Methods. Between April 1996 and February 2000, 207 patients older than 75 years of age who had undergone coronary bypass grafting were propectively and consecutively analyze. Mean age was 78.4 ± 2.7. Results. An average of 2.6 grafts/patients was constructed. Left mammary artery was used in 93% of patients. The in-hospital incidence of heart failure, atrial fibrillation, preoperative infarction and stroke was 38%, 29%, 4.8% and 2.8% respectively. The in-hospital mortality rate was 5.8%. Mean follow-up was 18 months (25th an 75th percentiles 9-29). Late mortality rate was 4.1% in eight patients. Excluding the in-hospital deaths, the estimaded probability of survival (Kaplan-Meier) at 3 years was 94% and the survival freedom from symptoms was 86%. A multivariate analysis showed that only age was predictor of in-hospital mortality (OR 1.16, p = 0.009). Only peripheral vascular disease was found as a predictor of symptoms during the long-term follow-up (p = 0.001). Conclusions. In this series of senile patients who underwent coronary surgery, those of an older age (> 80 years) showed a higher risk of in-hospital mortality. The presence of peripheral vascular disease is useful in the prognosis assessment of the group. JOUR info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/2.5/ar http://hdl.handle.net/20.500.12110/paper_03008932_v54_n6_p709_Gabe |
| institution |
Universidad de Buenos Aires |
| institution_str |
I-28 |
| repository_str |
R-134 |
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Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA) |
| topic |
Aging Coronary artery disease Surgery age aged article coronary artery disease female heart muscle revascularization hospitalization human male mortality prospective study survival rate time Age Factors Aged Coronary Disease Female Hospitalization Humans Male Myocardial Revascularization Prospective Studies Survival Rate Time Factors |
| spellingShingle |
Aging Coronary artery disease Surgery age aged article coronary artery disease female heart muscle revascularization hospitalization human male mortality prospective study survival rate time Age Factors Aged Coronary Disease Female Hospitalization Humans Male Myocardial Revascularization Prospective Studies Survival Rate Time Factors Gabe, E.D. Favaloro, R.R. Favaloro, M.R. Raffaelli, H.A. Machaín, A.H. Abud, J.A. Dulbecco, E.A. García Ben, M. Toledo, D. Macchia, A. Coronary Artery Bypass Grafting in Elderly Patients. In-Hospital Results and Long-Term Follow-up |
| topic_facet |
Aging Coronary artery disease Surgery age aged article coronary artery disease female heart muscle revascularization hospitalization human male mortality prospective study survival rate time Age Factors Aged Coronary Disease Female Hospitalization Humans Male Myocardial Revascularization Prospective Studies Survival Rate Time Factors |
| description |
Background. Taking into account the steady increase in the number of elderly patients requiring coronary artery bypass grafting, we sought to analyze the in-hospital and long-term evolution of a group of elderly patients (≥ 75 years) who underwent coronary artery bypass grafting, and to identify clinical predictors of mortality and long-term symptoms. Methods. Between April 1996 and February 2000, 207 patients older than 75 years of age who had undergone coronary bypass grafting were propectively and consecutively analyze. Mean age was 78.4 ± 2.7. Results. An average of 2.6 grafts/patients was constructed. Left mammary artery was used in 93% of patients. The in-hospital incidence of heart failure, atrial fibrillation, preoperative infarction and stroke was 38%, 29%, 4.8% and 2.8% respectively. The in-hospital mortality rate was 5.8%. Mean follow-up was 18 months (25th an 75th percentiles 9-29). Late mortality rate was 4.1% in eight patients. Excluding the in-hospital deaths, the estimaded probability of survival (Kaplan-Meier) at 3 years was 94% and the survival freedom from symptoms was 86%. A multivariate analysis showed that only age was predictor of in-hospital mortality (OR 1.16, p = 0.009). Only peripheral vascular disease was found as a predictor of symptoms during the long-term follow-up (p = 0.001). Conclusions. In this series of senile patients who underwent coronary surgery, those of an older age (> 80 years) showed a higher risk of in-hospital mortality. The presence of peripheral vascular disease is useful in the prognosis assessment of the group. |
| format |
JOUR |
| author |
Gabe, E.D. Favaloro, R.R. Favaloro, M.R. Raffaelli, H.A. Machaín, A.H. Abud, J.A. Dulbecco, E.A. García Ben, M. Toledo, D. Macchia, A. |
| author_facet |
Gabe, E.D. Favaloro, R.R. Favaloro, M.R. Raffaelli, H.A. Machaín, A.H. Abud, J.A. Dulbecco, E.A. García Ben, M. Toledo, D. Macchia, A. |
| author_sort |
Gabe, E.D. |
| title |
Coronary Artery Bypass Grafting in Elderly Patients. In-Hospital Results and Long-Term Follow-up |
| title_short |
Coronary Artery Bypass Grafting in Elderly Patients. In-Hospital Results and Long-Term Follow-up |
| title_full |
Coronary Artery Bypass Grafting in Elderly Patients. In-Hospital Results and Long-Term Follow-up |
| title_fullStr |
Coronary Artery Bypass Grafting in Elderly Patients. In-Hospital Results and Long-Term Follow-up |
| title_full_unstemmed |
Coronary Artery Bypass Grafting in Elderly Patients. In-Hospital Results and Long-Term Follow-up |
| title_sort |
coronary artery bypass grafting in elderly patients. in-hospital results and long-term follow-up |
| url |
http://hdl.handle.net/20.500.12110/paper_03008932_v54_n6_p709_Gabe |
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