ArticleJournal of cardiothoracic surgery2014
Association between older age and outcome after cardiac surgery: a population-based cohort study.
Article in Journal of cardiothoracic surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 66 citations in OpenAlex.
- Thoracoabdominal aortic replacement in the elderly: a retrospective propensity score-matched outcome analysis.Annals of medicine and surgery (2012) · 2026Article
- Patient selection for complex, high-risk indicated percutaneous coronary intervention procedures: an overview.European heart journal supplements : journal of the European Society of Cardiology · 2026Article
- Adding the patient perspective: the necessity of patient reported outcomes in cardiac surgery clinical trials.Current opinion in cardiology · 2025Review
- Valve-sparing root replacement: How old is too old?JTCVS open · 2025Article
- Assessing the validity of Society of Thoracic Surgeons (STS) score in predicting stroke risk among patients undergoing cardiothoracic surgery at a tertiary hospital in Pakistan: a retrospective cohort study.Journal of cardiothoracic surgery · 2025Article
- Predictive Factors of Length of Stay in Intensive Care Unit after Coronary Artery Bypass Graft Surgery based on Machine Learning Methods.Archives of academic emergency medicine · 2025Article
- Article
- Prehabilitation in elective patients undergoing cardiac surgery: a randomised control trial (THE PrEPS TRIAL) - a study protocol.BMJ open · 2023Article
- The evaluation of levosimendan in patients with acute myocardial infarction related ventricular septal rupture undergoing cardiac surgery: a prospective observational cohort study with propensity score analysis.BMC anesthesiology · 2022Observational
- Cardiac surgery in the very elderly: it isn't all about survival.The British journal of cardiology · 2020Article
- Impact of patients´ age on short and long-term outcome after carotid endarterectomy and simultaneous coronary artery bypass grafting.Journal of cardiothoracic surgery · 2019Article
- An 86-Year-Old Female with Mitral Regurgitation and Significant Pectus Excavatum.The Thoracic and cardiovascular surgeon reports · 2019Article
- Impaired right ventricular ejection fraction after cardiac surgery is associated with a complicated ICU stay.Journal of intensive care · 2018Article
- Association Between Obesity, Age, and Functional Decline in Survivors of Cardiac Surgery.Journal of the American Geriatrics Society · 2018Article
- Outcomes and Predictors of Mortality After Mitral Valve Surgery in High-Risk Elderly Patients: The Heidelberg Experience.Medical science monitor : international medical journal of experimental and clinical research · 2017Article
- Predicting operative mortality in octogenarians for isolated coronary artery bypass grafting surgery: a retrospective study.BMC cardiovascular disorders · 2017Article
- Single-centre experience of mitral valve surgery via right lateral mini-thoracotomy in octogenarians.Interactive cardiovascular and thoracic surgery · 2016Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveOctogenarians (aged ≥ 80 years) are increasingly being referred for cardiac surgery. We aimed to describe the morbidity, mortality, and health services utilization of octogenarians undergoing elective cardiac surgery.
methodsRetrospective population-based cohort study of adult patients receiving elective cardiac surgery between January 1 2004 and December 31 2009. Primary exposure was age ≥80 years. Outcomes were 30-day, 1- and 5-year mortality, post-operative complications, and ICU/hospital lengths of stay. Multi-variable logistic and Cox regression analyses were used to explore the association between older age and outcome.
resultsOf 6,843 patients receiving cardiac surgery, 544 (7.9%) were octogenarians. There was an increasing trend in the proportion of octogenarians undergoing surgery during the study period (0.3% per year, P = 0.073). Octogenarians were more likely to have combined procedures (valve plus coronary artery bypass or multiple valves) compared with younger strata (p < 0.001). Crude 30-day, 1-year and 5-year mortality for octogenarians were 3.7%, 10.8% and 29.0%, respectively. Compared to younger strata, octogenarians had higher adjusted 30-day (OR 4.83, 95%CI 1.30-17.92; P = 0.018) and 1-year mortality (OR 4.92; 95% CI, 2.32-10.46. P<0.001). Post-operative complications were more likely among octogenarians. Octogenarians had longer post-operative stays in ICU and hospital, and higher rates of ICU readmission (P < 0.001 for all). After multi-variable adjustment, age ≧ 80 years was an independent predictor of death at 30-days and 1 year.
conclusionsOctogenarians are increasingly referred for elective cardiac surgery with more combined procedures. Compared to younger patients, octogenarians have a higher risk of post-operative complications, consume greater resources, and have worse but acceptable short and long-term survival.
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