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  • Title: [Cardiac surgery in octogenarians].
    Author: Dahl PE, Andreassen L.
    Journal: Tidsskr Nor Laegeforen; 2003 Jun 12; 123(12):1671-3. PubMed ID: 12821986.
    Abstract:
    BACKGROUND: Increasing numbers of octogenarians are referred to cardiac surgery in Norway. Little is known about short and long term results. METHODS: We retrospectively identified 47 patients (20 women, 27 men) aged 80 to 87.5 (81.5 +/- 1.3) years. RESULTS: The median observation time was 700 days. 28 patients were in NYHA class IV and the rest in class III. Urgent operations were performed on 19 patients (60 %). Operative mortality was 10.5 %; prolonged cardiopulmonary bypass time was a predictor of early death. The most common complication was atrial fibrillation. Median intubation time was 5 hours, length of stay in the intensive care unit 2 days, and postoperative length of stay 4 days. Survival at 1 year was 85 % and 60 % at 5 years. Follow-up telephone interviews were 100 % complete. 34 patients (92 %) reported improved health after surgery. All but one lived in their own homes. 32 patients (86.5 %) were in NYHA class I or II at follow up. INTERPRETATION: Strictly selected octogenarians may undergo cardiac surgery at reasonable risk. They will benefit from improved functional status and quality of life.
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