Evidence map›Paper›PMID 24812629›Full record

ReviewBioMed research international2014

The evolution of cardiovascular surgery in elderly patient: a review of current options and outcomes.

Francesco Nicolini, Andrea Agostinelli, Antonella Vezzani, Tullio Manca, Filippo Benassi, Alberto Molardi, Tiziano Gherli

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05279898 (Perioperative Multimodal General AnesTHesia Focusing on Specific CNS Targets in Patients Undergoing carDiac surgERies - the PATHFINDER II Study), which is not on this map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

NCT05279898 nacompletednot on this mapstarted 2023, after this paper: background citation

Perioperative Multimodal General AnesTHesia Focusing on Specific CNS Targets in Patients Undergoing carDiac surgERies - the PATHFINDER II Study

TypeinterventionalSponsorBeth Israel Deaconess Medical CenterRan2023 to 2024Enrolled70ConditionsPostoperative Delirium, Hemodynamic Instability, Pain, Neurocognitive DysfunctionArmsEEG Monitoring, Ropivacaine, Ketamine, Remifentanil, Dexmedetomidine
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 103 citations in OpenAlex.

  1. Pooled it
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  3. [Cardiac surgery in the elderly].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Francesco NicoliniUnità di Cardiochirurgia, Dipartimento di Medicina Clinica e Sperimentale, Università degli Studi di Parma, Via A. Gramsci 14, 43126 Parma, Italy.ORCID 0000-0003-2174-9240
Andrea AgostinelliUnità Operativa di Cardiochirurgia, Dipartimento Cardio-Nefro-Polmonare, Azienda Ospedaliero-Universitaria di Parma, Via A. Gramsci 14, 43126 Parma, Italy.
Antonella VezzaniUnità Operativa di Cardiochirurgia, Dipartimento Cardio-Nefro-Polmonare, Azienda Ospedaliero-Universitaria di Parma, Via A. Gramsci 14, 43126 Parma, Italy.ORCID 0000-0003-0569-5334
Tullio MancaUnità Operativa di Cardiochirurgia, Dipartimento Cardio-Nefro-Polmonare, Azienda Ospedaliero-Universitaria di Parma, Via A. Gramsci 14, 43126 Parma, Italy.
Filippo BenassiUnità Operativa di Cardiochirurgia, Dipartimento Cardio-Nefro-Polmonare, Azienda Ospedaliero-Universitaria di Parma, Via A. Gramsci 14, 43126 Parma, Italy.ORCID 0000-0001-6684-2217
Alberto MolardiUnità Operativa di Cardiochirurgia, Dipartimento Cardio-Nefro-Polmonare, Azienda Ospedaliero-Universitaria di Parma, Via A. Gramsci 14, 43126 Parma, Italy.ORCID 0000-0001-5540-9653
Tiziano GherliUnità di Cardiochirurgia, Dipartimento di Medicina Clinica e Sperimentale, Università degli Studi di Parma, Via A. Gramsci 14, 43126 Parma, Italy.
Ospedale di Parma · ITUniversity of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Due to the increase in average life expectancy and the higher incidence of cardiovascular disease with advancing age, more elderly patients present for cardiac surgery nowadays. Advances in pre- and postoperative care have led to the possibility that an increasing number of elderly patients can be operated on safely and with a satisfactory outcome. Currently, coronary artery bypass surgery, aortic and mitral valve surgery, and major surgery of the aorta are performed in elderly patients. The data available show that most cardiac surgical procedures can be performed in elderly patients with a satisfactory outcome. Nevertheless, the risk for these patients is only acceptable in the absence of comorbidities. In particular, renal dysfunction, cerebrovascular disease, and poor clinical state are associated with a worse outcome in elderly patients. Careful patient selection, flawless surgery, meticulous hemostasis, perfect anesthesia, and adequate myocardial protection are basic requirements for the success of cardiac surgery in elderly patients. The care of elderly cardiac surgical patients can be improved only through the strict collaboration of geriatricians, anesthesiologists, cardiologists, and cardiac surgeons, in order to obtain a tailored treatment for each individual patient.

Indexed as

AgedAgingCardiac Surgical ProceduresCardiovascular SystemHeart ValvesHumansMyocardial RevascularizationTreatment Outcome

Identifiers

PMID24812629
PMCPMC4000933
OpenAlexW1988173609

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.