ReviewDeutsches Arzteblatt international2009
Cardiac surgery in the elderly patient.
Review in Deutsches Arzteblatt international, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Modified ultrafiltration reduces postoperative blood loss and transfusions in adult cardiac surgery: a meta-analysis of randomized controlled trials.Interactive cardiovascular and thoracic surgery · 2021Pooled it
- Postoperative Neurocognitive Disorders in Cardiac Surgery: Investigating the Role of Intraoperative Hypotension. A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Dynamic BUN patterns in the ICU: risk stratification and prognosis following cardiac surgery.Journal of cardiothoracic surgery · 2026Article
- A Nurse-Guided, Family-Involved Individualized Perioperative Management Multidisciplinary Team Model in Older Patients Underwent Cardiac Surgery.Journal of multidisciplinary healthcare · 2026Article
- Mitral Valve Repair in the Modern Era: Insights into Techniques and Technologies with a Glimpse of the Future.Journal of clinical medicine · 2025Review
- Adding the patient perspective: the necessity of patient reported outcomes in cardiac surgery clinical trials.Current opinion in cardiology · 2025Review
- Factors determining early mortality in ischemic mitral regurgitation surgery.Turk gogus kalp damar cerrahisi dergisi · 2025Article
- Outcomes and complications among nonagenarians undergoing cardiac surgery: A scoping review.PloS one · 2025Article
- Real-world safety and effectiveness of inhaled nitric oxide therapy for pulmonary hypertension during the perioperative period of cardiac surgery: a post-marketing study of 2817 patients in Japan.General thoracic and cardiovascular surgery · 2024Article
- Perioperative outcome, long-term mortality and time trends in elderly patients undergoing low-, intermediate- or major non-cardiac surgery.Aging clinical and experimental research · 2024Observational
- Clinical Outcomes after Multivalve Surgery in Octogenarians: Evaluating the Need for a Paradigm Shift.Journal of clinical medicine · 2024Article
- Living Longer or Better-Patient's Choice in Cardiac Surgery Is Gender-Dependent-A Multicenter Study.Journal of clinical medicine · 2023Article
- Outcomes and complications of nonagenarians undergoing cardiac surgery: a scoping review protocol.BMJ open · 2023Article
- Does Age Influence the Preoperative Condition and, Thus, the Outcome in Endocarditis Patients?Journal of clinical medicine · 2023Article
- Geographical distribution of authorship for leading cardiothoracic surgery journals.Journal of cardiac surgery · 2022Article
- Utilization of Two- and Three-Dimensional Transesophageal Echocardiography in Successfully Guiding Transcatheter Mitral Valve in Bioprosthetic Mitral Valve/Mitral Ring Implantation without Complications in Patients with Thrombus in Left Atrium/Left Atrial Appendage.Journal of clinical medicine · 2022Article
- Health-Related Quality of Life following Surgery for Native and Prosthetic Valve Infective Endocarditis.Journal of clinical medicine · 2022Article
- Influence of Age on Postoperative Neurological Outcomes after Surgery of Acute Type A Aortic Dissection.Journal of clinical medicine · 2021Article
- Development and validation of a model for predicting acute kidney injury after cardiac surgery in patients of advanced age.Journal of cardiac surgery · 2021Article
- Influence of moderate hypothermic circulatory arrest on outcome in patients undergoing elective replacement of thoracic aorta.Journal of thoracic disease · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs life expectancies rise and the number of persons over age 75 in the population increases, the proper treatment of elderly cardiac patients is becoming a matter of ever greater medical and political importance.
methodsIn collaboration with the German Federal Quality Assurance Office (Bundesgeschäftsstelle Qualitätssicherung, BQS), the authors analyzed the risk profiles of elderly patients by means of data sets from all cardiac surgical centers in Germany for the year 2007. The results regarding risk distribution and the morbidity and lethality statistics for isolated coronary surgery were derived from the complete, nationwide BQS data pool, containing information on a total of 47,881 operations. Data on quality of life and long-term survival were obtained from a selective literature search using Medline.
resultsCompared to patients under age 65, those over age 75 have significantly more prognosis-determining comorbidities and risk factors. Accordingly, complication rates and lethality are higher in the latter age group (for example, there is a 4.3-fold relative risk elevation for renal dysfunction, a 3.0-fold elevation for neurological complications, and 3.7-fold elevation for in-hospital lethality). The patient's chronological age is a risk factor for lethality and morbidity after coronary surgical procedures.
conclusionsThe lethality risk of a bypass operation can be predicted very accurately with the aid of modern scoring systems. Successful cardiac surgical procedures can return the patient to a normal life expectancy and quality of life for his or her age group.
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