The outcomes of coronary artery bypass and aortic valve replacement in elderly patients
To study the outcome of open heart surgery in an increasing population of elderly patients in Iceland. A retrospective study of patients (n=876) that underwent coronary artery bypass (CABG) or aortic valve replacement (AVR) for aortic stenosis in Iceland 2002-2006. Complication rates, operative mort...
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| Veröffentlicht in: | Laeknabladid 2012-01, Vol.98 (1), p.11-16 |
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| creator | Sigurdsson, Martin Ingi Helgadóttir, Sólveig Ingvarsdottir, Inga Lára Viktorsson, Sindri Aron Hreinsson, Kári Arnórsson, Thorarinn Gudbjartsson, Tómas |
| description | To study the outcome of open heart surgery in an increasing population of elderly patients in Iceland.
A retrospective study of patients (n=876) that underwent coronary artery bypass (CABG) or aortic valve replacement (AVR) for aortic stenosis in Iceland 2002-2006. Complication rates, operative mortality and long-term survival were compared between patients older (n=221, 25%) and younger (n=655, 75%) than 75 years. Long-term survival of the older group was compared to an age and sex matched reference population.
Older patients had a higher incidence of atrial fibrillation (57% vs. 37%, p |
| doi_str_mv | 10.17992/lbl.2012.01.407 |
| format | Article |
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A retrospective study of patients (n=876) that underwent coronary artery bypass (CABG) or aortic valve replacement (AVR) for aortic stenosis in Iceland 2002-2006. Complication rates, operative mortality and long-term survival were compared between patients older (n=221, 25%) and younger (n=655, 75%) than 75 years. Long-term survival of the older group was compared to an age and sex matched reference population.
Older patients had a higher incidence of atrial fibrillation (57% vs. 37%, p<0.001), stroke (5% vs. 1%, p=0.009) and operative mortality (9% vs. 2%, p<0.001) following CABG. Length of ICU stay was similar but total length of stay was one day longer in the older cohort. Following AVR, older patients had a higher incidence of atrial fibrillation (90% vs. 71%, p=0.006), ARDS (19% vs. 7%, p=0.04), myocardial infarction (21% vs. 8%, p=0.05) and operative mortality (11% vs. 2%, p=0.04). The ICU stay was a day longer and the total length of stay was about four days longer in the older cohort. A total of 75% of the older patients were alive five years after CABG, compared to 74% of the reference population (p=0.87). Similar numbers for AVR were 65% for the patients compared to 74% in the reference population (p=0.06).
The rate of complications, operative mortality and length of hospital stay is higher in patients older than 75 years compared to younger patients. Survival of the older group of patients indicates good long-term results after open heart surgery for this patient cohort.</description><identifier>ISSN: 0023-7213</identifier><identifier>DOI: 10.17992/lbl.2012.01.407</identifier><identifier>PMID: 22253082</identifier><language>ice</language><publisher>Iceland</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Aortic Valve - surgery ; Aortic Valve Stenosis - mortality ; Aortic Valve Stenosis - surgery ; Cardiovascular Diseases - etiology ; Cardiovascular Diseases - mortality ; Coronary Artery Bypass - adverse effects ; Coronary Artery Bypass - mortality ; Coronary Artery Disease - mortality ; Coronary Artery Disease - surgery ; Female ; Heart Valve Prosthesis Implantation - adverse effects ; Heart Valve Prosthesis Implantation - mortality ; Hospital Mortality ; Humans ; Iceland ; Intensive Care Units ; Length of Stay ; Male ; Middle Aged ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Survivors ; Time Factors ; Treatment Outcome</subject><ispartof>Laeknabladid, 2012-01, Vol.98 (1), p.11-16</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,865,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22253082$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sigurdsson, Martin Ingi</creatorcontrib><creatorcontrib>Helgadóttir, Sólveig</creatorcontrib><creatorcontrib>Ingvarsdottir, Inga Lára</creatorcontrib><creatorcontrib>Viktorsson, Sindri Aron</creatorcontrib><creatorcontrib>Hreinsson, Kári</creatorcontrib><creatorcontrib>Arnórsson, Thorarinn</creatorcontrib><creatorcontrib>Gudbjartsson, Tómas</creatorcontrib><title>The outcomes of coronary artery bypass and aortic valve replacement in elderly patients</title><title>Laeknabladid</title><addtitle>Laeknabladid</addtitle><description>To study the outcome of open heart surgery in an increasing population of elderly patients in Iceland.
A retrospective study of patients (n=876) that underwent coronary artery bypass (CABG) or aortic valve replacement (AVR) for aortic stenosis in Iceland 2002-2006. Complication rates, operative mortality and long-term survival were compared between patients older (n=221, 25%) and younger (n=655, 75%) than 75 years. Long-term survival of the older group was compared to an age and sex matched reference population.
Older patients had a higher incidence of atrial fibrillation (57% vs. 37%, p<0.001), stroke (5% vs. 1%, p=0.009) and operative mortality (9% vs. 2%, p<0.001) following CABG. Length of ICU stay was similar but total length of stay was one day longer in the older cohort. Following AVR, older patients had a higher incidence of atrial fibrillation (90% vs. 71%, p=0.006), ARDS (19% vs. 7%, p=0.04), myocardial infarction (21% vs. 8%, p=0.05) and operative mortality (11% vs. 2%, p=0.04). The ICU stay was a day longer and the total length of stay was about four days longer in the older cohort. A total of 75% of the older patients were alive five years after CABG, compared to 74% of the reference population (p=0.87). Similar numbers for AVR were 65% for the patients compared to 74% in the reference population (p=0.06).
The rate of complications, operative mortality and length of hospital stay is higher in patients older than 75 years compared to younger patients. Survival of the older group of patients indicates good long-term results after open heart surgery for this patient cohort.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aortic Valve - surgery</subject><subject>Aortic Valve Stenosis - mortality</subject><subject>Aortic Valve Stenosis - surgery</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Cardiovascular Diseases - mortality</subject><subject>Coronary Artery Bypass - adverse effects</subject><subject>Coronary Artery Bypass - mortality</subject><subject>Coronary Artery Disease - mortality</subject><subject>Coronary Artery Disease - surgery</subject><subject>Female</subject><subject>Heart Valve Prosthesis Implantation - adverse effects</subject><subject>Heart Valve Prosthesis Implantation - mortality</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Iceland</subject><subject>Intensive Care Units</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Survivors</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0023-7213</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kMFLwzAYxXNQ3Ji7e5LcPLXmS9p1OcpQJwy8TDyWr8lXrKRNTdLB_nsLznd58Pjx4D3G7kDkUGktH13jcilA5gLyQlRXbCmEVFklQS3YOsZvMWsjQOvqhi2klKUSW7lkn8cv4n5KxvcUuW-58cEPGM4cQ6LZmvOIMXIcLEcfUmf4Cd2JeKDRoaGehsS7gZOzFNyZj5i6OYq37LpFF2l98RX7eHk-7vbZ4f31bfd0yEYoRMoQG9tKhYURRqJQxaZSWoDd2rIBXdoNArSGqFFSAjSgbCFLgsqC0WRNpVbs4a93DP5nopjqvouGnMOB_BRrPS8uC9jCTN5fyKnpydZj6Pp5Z_3_hfoFCuhhIg</recordid><startdate>201201</startdate><enddate>201201</enddate><creator>Sigurdsson, Martin Ingi</creator><creator>Helgadóttir, Sólveig</creator><creator>Ingvarsdottir, Inga Lára</creator><creator>Viktorsson, Sindri Aron</creator><creator>Hreinsson, Kári</creator><creator>Arnórsson, Thorarinn</creator><creator>Gudbjartsson, Tómas</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201201</creationdate><title>The outcomes of coronary artery bypass and aortic valve replacement in elderly patients</title><author>Sigurdsson, Martin Ingi ; Helgadóttir, Sólveig ; Ingvarsdottir, Inga Lára ; Viktorsson, Sindri Aron ; Hreinsson, Kári ; Arnórsson, Thorarinn ; Gudbjartsson, Tómas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p140t-aabdf23a4c0c2a034673901d8d5b195d6a11fceeb32211b13d425e17d1c9edc73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>ice</language><creationdate>2012</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aortic Valve - surgery</topic><topic>Aortic Valve Stenosis - mortality</topic><topic>Aortic Valve Stenosis - surgery</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Cardiovascular Diseases - mortality</topic><topic>Coronary Artery Bypass - adverse effects</topic><topic>Coronary Artery Bypass - mortality</topic><topic>Coronary Artery Disease - mortality</topic><topic>Coronary Artery Disease - surgery</topic><topic>Female</topic><topic>Heart Valve Prosthesis Implantation - adverse effects</topic><topic>Heart Valve Prosthesis Implantation - mortality</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Iceland</topic><topic>Intensive Care Units</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Survivors</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sigurdsson, Martin Ingi</creatorcontrib><creatorcontrib>Helgadóttir, Sólveig</creatorcontrib><creatorcontrib>Ingvarsdottir, Inga Lára</creatorcontrib><creatorcontrib>Viktorsson, Sindri Aron</creatorcontrib><creatorcontrib>Hreinsson, Kári</creatorcontrib><creatorcontrib>Arnórsson, Thorarinn</creatorcontrib><creatorcontrib>Gudbjartsson, Tómas</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Laeknabladid</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sigurdsson, Martin Ingi</au><au>Helgadóttir, Sólveig</au><au>Ingvarsdottir, Inga Lára</au><au>Viktorsson, Sindri Aron</au><au>Hreinsson, Kári</au><au>Arnórsson, Thorarinn</au><au>Gudbjartsson, Tómas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The outcomes of coronary artery bypass and aortic valve replacement in elderly patients</atitle><jtitle>Laeknabladid</jtitle><addtitle>Laeknabladid</addtitle><date>2012-01</date><risdate>2012</risdate><volume>98</volume><issue>1</issue><spage>11</spage><epage>16</epage><pages>11-16</pages><issn>0023-7213</issn><abstract>To study the outcome of open heart surgery in an increasing population of elderly patients in Iceland.
A retrospective study of patients (n=876) that underwent coronary artery bypass (CABG) or aortic valve replacement (AVR) for aortic stenosis in Iceland 2002-2006. Complication rates, operative mortality and long-term survival were compared between patients older (n=221, 25%) and younger (n=655, 75%) than 75 years. Long-term survival of the older group was compared to an age and sex matched reference population.
Older patients had a higher incidence of atrial fibrillation (57% vs. 37%, p<0.001), stroke (5% vs. 1%, p=0.009) and operative mortality (9% vs. 2%, p<0.001) following CABG. Length of ICU stay was similar but total length of stay was one day longer in the older cohort. Following AVR, older patients had a higher incidence of atrial fibrillation (90% vs. 71%, p=0.006), ARDS (19% vs. 7%, p=0.04), myocardial infarction (21% vs. 8%, p=0.05) and operative mortality (11% vs. 2%, p=0.04). The ICU stay was a day longer and the total length of stay was about four days longer in the older cohort. A total of 75% of the older patients were alive five years after CABG, compared to 74% of the reference population (p=0.87). Similar numbers for AVR were 65% for the patients compared to 74% in the reference population (p=0.06).
The rate of complications, operative mortality and length of hospital stay is higher in patients older than 75 years compared to younger patients. Survival of the older group of patients indicates good long-term results after open heart surgery for this patient cohort.</abstract><cop>Iceland</cop><pmid>22253082</pmid><doi>10.17992/lbl.2012.01.407</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Age Factors Aged Aged, 80 and over Aortic Valve - surgery Aortic Valve Stenosis - mortality Aortic Valve Stenosis - surgery Cardiovascular Diseases - etiology Cardiovascular Diseases - mortality Coronary Artery Bypass - adverse effects Coronary Artery Bypass - mortality Coronary Artery Disease - mortality Coronary Artery Disease - surgery Female Heart Valve Prosthesis Implantation - adverse effects Heart Valve Prosthesis Implantation - mortality Hospital Mortality Humans Iceland Intensive Care Units Length of Stay Male Middle Aged Retrospective Studies Risk Assessment Risk Factors Survivors Time Factors Treatment Outcome |
| title | The outcomes of coronary artery bypass and aortic valve replacement in elderly patients |
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