Outcome of elderly patients undergoing open-heart surgery in a developing country
Summary To evaluate and compare the outcome of open‐heart surgery in elderly patients with a concurrent group of younger patients in a developing country, data of all adult patients who underwent open‐heart surgery during the period of 3 years from January 1999 to December 2001 were collected prospe...
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Veröffentlicht in: | International journal of clinical practice (Esher) 2005-08, Vol.59 (8), p.953-957 |
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creator | Hariharan, S. Fakoory, M. T. Harris, A. Moseley, H. S. L. Kumar, A. Y. |
description | Summary
To evaluate and compare the outcome of open‐heart surgery in elderly patients with a concurrent group of younger patients in a developing country, data of all adult patients who underwent open‐heart surgery during the period of 3 years from January 1999 to December 2001 were collected prospectively. Demographic data such as age and gender, other data such as preoperative diagnoses, comorbid illnesses, type of surgery, time of cardio‐pulmonary bypass, length of stay and hospital outcome were recorded. The characteristics of patients above the age of 65 years were compared with a concurrent cohort of patients aged less than 65 years. One hundred and forty‐five adult patients underwent open‐heart surgeries in 3 years, and the overall mortality rate was 4.8%. The much common surgeries were coronary artery bypass grafting, valve repair/replacement surgery and surgery for adult congenital heart diseases. Forty‐five (31%) patients were above the age of 65 years. The mortality rate was 2.2% for patients who were aged 65 years and above, in comparison with that of the concurrent cohort of younger patients (6%). This was probably because of more number of surgeries for congenital heart diseases in the latter group. However, even with other surgeries such as coronary artery bypass grafting, the elderly group of patients did equally well as the younger group. Elderly patients tolerate cardiac surgery well, and age should not be an exclusive criterion to decide against open‐heart surgery. |
doi_str_mv | 10.1111/j.1742-1241.2005.00491.x |
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To evaluate and compare the outcome of open‐heart surgery in elderly patients with a concurrent group of younger patients in a developing country, data of all adult patients who underwent open‐heart surgery during the period of 3 years from January 1999 to December 2001 were collected prospectively. Demographic data such as age and gender, other data such as preoperative diagnoses, comorbid illnesses, type of surgery, time of cardio‐pulmonary bypass, length of stay and hospital outcome were recorded. The characteristics of patients above the age of 65 years were compared with a concurrent cohort of patients aged less than 65 years. One hundred and forty‐five adult patients underwent open‐heart surgeries in 3 years, and the overall mortality rate was 4.8%. The much common surgeries were coronary artery bypass grafting, valve repair/replacement surgery and surgery for adult congenital heart diseases. Forty‐five (31%) patients were above the age of 65 years. The mortality rate was 2.2% for patients who were aged 65 years and above, in comparison with that of the concurrent cohort of younger patients (6%). This was probably because of more number of surgeries for congenital heart diseases in the latter group. However, even with other surgeries such as coronary artery bypass grafting, the elderly group of patients did equally well as the younger group. Elderly patients tolerate cardiac surgery well, and age should not be an exclusive criterion to decide against open‐heart surgery.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/j.1742-1241.2005.00491.x</identifier><identifier>PMID: 16033619</identifier><language>eng</language><publisher>Oxford, UK; Malden, USA: Blackwell Science Ltd</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Barbados ; Biological and medical sciences ; cardiac surgery ; Cardiac Surgical Procedures - mortality ; Cardiopulmonary Bypass - mortality ; Coronary Artery Bypass - mortality ; Developing Countries ; developing country ; Elderly patients ; Female ; General aspects ; Heart Diseases - mortality ; Heart Diseases - surgery ; Humans ; Male ; Medical sciences ; Middle Aged ; Prospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; Treatment Outcome</subject><ispartof>International journal of clinical practice (Esher), 2005-08, Vol.59 (8), p.953-957</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4361-e977bbcf2b01a3dce77e97f9b9d004005d43ccbe902932bd14484a56a163c4da3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1742-1241.2005.00491.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1742-1241.2005.00491.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16980801$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16033619$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hariharan, S.</creatorcontrib><creatorcontrib>Fakoory, M. T.</creatorcontrib><creatorcontrib>Harris, A.</creatorcontrib><creatorcontrib>Moseley, H. S. L.</creatorcontrib><creatorcontrib>Kumar, A. Y.</creatorcontrib><title>Outcome of elderly patients undergoing open-heart surgery in a developing country</title><title>International journal of clinical practice (Esher)</title><addtitle>Int J Clin Pract</addtitle><description>Summary
To evaluate and compare the outcome of open‐heart surgery in elderly patients with a concurrent group of younger patients in a developing country, data of all adult patients who underwent open‐heart surgery during the period of 3 years from January 1999 to December 2001 were collected prospectively. Demographic data such as age and gender, other data such as preoperative diagnoses, comorbid illnesses, type of surgery, time of cardio‐pulmonary bypass, length of stay and hospital outcome were recorded. The characteristics of patients above the age of 65 years were compared with a concurrent cohort of patients aged less than 65 years. One hundred and forty‐five adult patients underwent open‐heart surgeries in 3 years, and the overall mortality rate was 4.8%. The much common surgeries were coronary artery bypass grafting, valve repair/replacement surgery and surgery for adult congenital heart diseases. Forty‐five (31%) patients were above the age of 65 years. The mortality rate was 2.2% for patients who were aged 65 years and above, in comparison with that of the concurrent cohort of younger patients (6%). This was probably because of more number of surgeries for congenital heart diseases in the latter group. However, even with other surgeries such as coronary artery bypass grafting, the elderly group of patients did equally well as the younger group. Elderly patients tolerate cardiac surgery well, and age should not be an exclusive criterion to decide against open‐heart surgery.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Barbados</subject><subject>Biological and medical sciences</subject><subject>cardiac surgery</subject><subject>Cardiac Surgical Procedures - mortality</subject><subject>Cardiopulmonary Bypass - mortality</subject><subject>Coronary Artery Bypass - mortality</subject><subject>Developing Countries</subject><subject>developing country</subject><subject>Elderly patients</subject><subject>Female</subject><subject>General aspects</subject><subject>Heart Diseases - mortality</subject><subject>Heart Diseases - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>Treatment Outcome</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkU9P3DAQxa0KVP71K1S-lFvCOHac5NADWtEFtEChrXq0HGeyzZJNUjuBzbevw24BXzya-T1b8x4hlEHI_DlbhSwRUcAiwcIIIA4BRMbCzQdy-DrY8zWXaRADZwfkyLkVQBTHKXwkB0wC55Jlh-T-buhNu0balhTrAm090k73FTa9o0PjG8u2apa07bAJ_qC2PXWDXaIdadVQTQt8wrrtJsS0Q9Pb8YTsl7p2-Gl3H5Nf3y5-zi6Dxd38ana-CIzwXweYJUmemzLKgWleGEwS3yqzPCv8Mn6nQnBjcswgyniUF0yIVOhYaia5EYXmx-R0-25n278Dul6tK2ewrnWD7eCUTEFCJKUHP-_AIV9joTpbrbUd1X8TPPBlB2hndF1a3ZjKveOyFFJgnvu65Z6rGse3OagpFLVSk_dq8l5NoaiXUNRGXV3PvvvK64OtvnI9bl712j4qmfAkVr9v5-r-4cec3SwWivN__CyPCg</recordid><startdate>200508</startdate><enddate>200508</enddate><creator>Hariharan, S.</creator><creator>Fakoory, M. T.</creator><creator>Harris, A.</creator><creator>Moseley, H. S. L.</creator><creator>Kumar, A. Y.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200508</creationdate><title>Outcome of elderly patients undergoing open-heart surgery in a developing country</title><author>Hariharan, S. ; Fakoory, M. T. ; Harris, A. ; Moseley, H. S. L. ; Kumar, A. Y.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4361-e977bbcf2b01a3dce77e97f9b9d004005d43ccbe902932bd14484a56a163c4da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Barbados</topic><topic>Biological and medical sciences</topic><topic>cardiac surgery</topic><topic>Cardiac Surgical Procedures - mortality</topic><topic>Cardiopulmonary Bypass - mortality</topic><topic>Coronary Artery Bypass - mortality</topic><topic>Developing Countries</topic><topic>developing country</topic><topic>Elderly patients</topic><topic>Female</topic><topic>General aspects</topic><topic>Heart Diseases - mortality</topic><topic>Heart Diseases - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hariharan, S.</creatorcontrib><creatorcontrib>Fakoory, M. T.</creatorcontrib><creatorcontrib>Harris, A.</creatorcontrib><creatorcontrib>Moseley, H. S. L.</creatorcontrib><creatorcontrib>Kumar, A. Y.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hariharan, S.</au><au>Fakoory, M. T.</au><au>Harris, A.</au><au>Moseley, H. S. L.</au><au>Kumar, A. Y.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcome of elderly patients undergoing open-heart surgery in a developing country</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><addtitle>Int J Clin Pract</addtitle><date>2005-08</date><risdate>2005</risdate><volume>59</volume><issue>8</issue><spage>953</spage><epage>957</epage><pages>953-957</pages><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>Summary
To evaluate and compare the outcome of open‐heart surgery in elderly patients with a concurrent group of younger patients in a developing country, data of all adult patients who underwent open‐heart surgery during the period of 3 years from January 1999 to December 2001 were collected prospectively. Demographic data such as age and gender, other data such as preoperative diagnoses, comorbid illnesses, type of surgery, time of cardio‐pulmonary bypass, length of stay and hospital outcome were recorded. The characteristics of patients above the age of 65 years were compared with a concurrent cohort of patients aged less than 65 years. One hundred and forty‐five adult patients underwent open‐heart surgeries in 3 years, and the overall mortality rate was 4.8%. The much common surgeries were coronary artery bypass grafting, valve repair/replacement surgery and surgery for adult congenital heart diseases. Forty‐five (31%) patients were above the age of 65 years. The mortality rate was 2.2% for patients who were aged 65 years and above, in comparison with that of the concurrent cohort of younger patients (6%). This was probably because of more number of surgeries for congenital heart diseases in the latter group. However, even with other surgeries such as coronary artery bypass grafting, the elderly group of patients did equally well as the younger group. Elderly patients tolerate cardiac surgery well, and age should not be an exclusive criterion to decide against open‐heart surgery.</abstract><cop>Oxford, UK; Malden, USA</cop><pub>Blackwell Science Ltd</pub><pmid>16033619</pmid><doi>10.1111/j.1742-1241.2005.00491.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Age Factors Aged Barbados Biological and medical sciences cardiac surgery Cardiac Surgical Procedures - mortality Cardiopulmonary Bypass - mortality Coronary Artery Bypass - mortality Developing Countries developing country Elderly patients Female General aspects Heart Diseases - mortality Heart Diseases - surgery Humans Male Medical sciences Middle Aged Prospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Treatment Outcome |
title | Outcome of elderly patients undergoing open-heart surgery in a developing country |
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