Evidence map›Paper›PMID 28302949›Full record

Observational studyAnnals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia2017

Isolated and Combined Valve Surgery in Elderly Patients: A Comparison of Mid-Term Results.

Fumiya Yoneyama, Chiho Tokunaga, Yoshiharu Enomoto, Kisato Mitomi, Hiroaki Sakamoto, Yuji Hiramatsu

Abstract readComparative StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Fumiya YoneyamaDepartment of Cardiovascular Surgery, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Chiho TokunagaDepartment of Cardiovascular Surgery, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Yoshiharu EnomotoDepartment of Cardiovascular Surgery, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Kisato MitomiDepartment of Cardiovascular Surgery, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Hiroaki SakamotoDepartment of Cardiovascular Surgery, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Yuji HiramatsuDepartment of Cardiovascular Surgery, University of Tsukuba, Tsukuba, Ibaraki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study examined mid-term outcomes of valve surgery in the elderly, and focused on the difference in outcomes between isolated and combined valve surgery.

methodsFrom January 2012 to June 2016, 113 consecutive patients aged 75 years and older underwent valve surgery. In all, 60 underwent isolated valve surgery (Group I), and 53 underwent combined valve surgery (Group C) involving the combination of any valve procedures or valve surgery with concurrent other procedure. Short- and mid-term outcomes were compared between the two groups.

resultsThere was no significant difference in length of intensive care unit stay (2.8 days in Group S vs. 4.2 days in Group C, p = 0.08), hospital stay (16.2 vs. 18.7 days, p = 0.22), and mechanical ventilation (11.2 vs. 15.0 hours, p = 0.28). Neither was there any significant difference in operative mortality (1.6% vs. 5.6%, p = 0.25) nor morbidity (8.3% vs. 9.4%, p = 0.83) between the two groups. Actuarial survival rates at 1 and 3 years were 98.3% in Group S and 92.0% in Group C (log-rank p = 0.126).

conclusionOnce patients have tolerated combined surgery during the early postoperative period, good survival rates equaling those of isolated valve surgery can be expected.

Indexed as

Cardiac Surgical ProceduresAgedAged, 80 and overAge FactorsFemaleHeart Valve DiseasesHeart ValvesHumansJapanKaplan-Meier EstimateMalePostoperative ComplicationsRetrospective StudiesRisk FactorsTime FactorsTreatment Outcomecombined valve surgeryelderly patientsisolated valve surgery

Identifiers

PMID28302949
PMCPMC5483858

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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.