Home > Riviste > The Journal of Cardiovascular Surgery > Fascicoli precedenti > The Journal of Cardiovascular Surgery 2002 February;43(1) > The Journal of Cardiovascular Surgery 2002 February;43(1):43-7

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi PROMO
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Estratti
Permessi

 

ORIGINAL ARTICLES  CARDIAC SECTION 

The Journal of Cardiovascular Surgery 2002 February;43(1):43-7

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Quality of life after cardiac surgery in the elderly

Mittermair R. P., Müller L. C.

From the Department of Cardiac Surgery Innsbruck Medical Center University of Innsbruck, Innsbruck, Austria


PDF


Background. Cardiac sur­gery in ­the eld­er­ly is per­formed ­with increas­ing fre­quen­cy. Beside ­low mor­tal­ity an evi­dent ­gain in qual­ity of ­life is ­the ­most impor­tant ­aim of ther­a­py. To inves­ti­gate ­the medi­um ­term out­come of car­diac sur­gery, we eval­u­at­ed ­patients ­over 75 ­years of ­age ­who ­were oper­at­ed on with­in a 1.5-­year peri­od.
Methods. Between 01/98 ­and 06/99, 124 ­patients (76 ­male, 48 ­female), ­mean ­age of 76.6 (­range 75-86) ­years ­were oper­at­ed on. Eighty-­four per ­cent ­had iso­lat­ed cor­o­nary or ­valve pro­ce­dures ­and 16% ­had com­bined pro­ce­dures. Pre- ­and post­op­er­a­tive ­NYHA clas­sifi­ca­tion, fol­low-up peri­od, per­i­op­er­a­tive mor­tal­ity ­and ­the sub­jec­tive sat­is­fac­tion ­were record­ed.
Results. Total per­i­op­er­a­tive mor­tal­ity ­was 6.4%. After a ­mean fol­low-up ­time of 15.2 (­range 6-24) ­months, ­patient sat­is­fac­tion ­with ­the oper­a­tive ­results ­was excel­lent in 73%, ­good in 26% ­and ­low (unsat­is­fied) in 1%.
Conclusions. Cardiac sur­gery in ­the eld­er­ly ­can be per­formed ­with an accept­able mor­bid­ity ­and mor­tal­ity. The ­fact ­that 99.1% of ­the ­patients ­are sat­is­fied ­with ­their oper­a­tion ­and ­the dra­mat­ic improve­ment in func­tion­al stat­us (96.5% ­NYHA I ­and II) jus­ti­fy car­diac sur­gery in ­this ­age.

inizio pagina