Fulltext

Benefits of cardiac surgery in octogenarians — a postoperative quality of life assessment

Huber, Christoph H. ; Goeber, Volkhard ; Berdat, Pascal ; Carrel, Thierry ; Eckstein, Friedrich

In: European Journal of Cardio-Thoracic Surgery, 2007, vol. 31, no. 6, p. 1099-1105

Ajouter à la liste personnelle
    Titre
    • Benefits of cardiac surgery in octogenarians — a postoperative quality of life assessment
    Auteur
    • Huber, Christoph H.. Division of Cardiovascular Surgery, University Hospital of Lausanne, CHUV, Switzerland
    • Goeber, Volkhard. Division of Cardiovascular Surgery, University Hospital of Bern, Inselspital, Switzerland
    • Berdat, Pascal. Division of Cardiovascular Surgery, University Hospital of Bern, Inselspital, Switzerland
    • Carrel, Thierry. Division of Cardiovascular Surgery, University Hospital of Bern, Inselspital, Switzerland
    • Eckstein, Friedrich. Division of Cardiovascular Surgery, University Hospital of Bern, Inselspital, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • European Journal of Cardio-Thoracic Surgery, 2007, vol. 31, no. 6, p. 1099-1105. Elsevier Science B.V.
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:298972
    Summary
    Objective: Assessment of postoperative quality of life in patients over 80 years after cardiac surgery including coronary artery bypass grafting (CABG), aortic valve replacement (AVR) and combined procedures. Methods: Quality of life of n=136 patients over 80 years at operation (82.3±2.1 years), undergoing isolated CABG in 61 patients (45%), isolated AVR in 34 patients (25%) and a combination of CABG and AVR in 41 patients (30%) between January 1999 and December 2003 was reviewed. Preoperatively 66.2% presented in NYHA-class III/IV or CCS-class III/IV. Mean ejection fraction (EF) was 59.5%±14.0 (range 25-90%). Quality of life assessment was performed via a Seattle Angina Questionnaire. Follow-up was 100% complete for a total of 890 days (69-1853 days). Results: Five-year survival was 70% for the CABG group, 75% for the AVR group and 65% for the CABG/AVR group. Quality of life was remarkable in all of the three groups after surgery. Overall 97 patients (81%) were not or little disabled in their daily activity. One hundred and twelve patients (93%) were free or considerably less symptomatic. Seventy-eight patients or 65% reported to be very satisfied with their current quality of life and 112 patients (93%) felt very reassured to have continuous full access to medical treatment despite of their advanced age. Conclusions: A remarkable quality of life and important improvement in the functional status after cardiac surgery in patients over 80 paired with a satisfactory medium-term survival justify early intervention for heart disease in this age group. Therefore, referral practice for patients over 80 years for heart surgery should be handled liberally