Evidence map›Paper›PMID 35911518›Full record

ArticleFrontiers in cardiovascular medicine2022

Modern Cardiac Surgical Outcomes in Nonagenarians: A Multicentre Retrospective Observational Study.

Laurence Weinberg, Dominic Walpole, Dong Kyu Lee, Michael D'Silva, Jian Wen Chan, Lachlan Fraser Miles, Bradly Carp, Adam Wells, Tuck Seng Ngun, Siven Seevanayagam and 4 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 26% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 6 citations in OpenAlex.

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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

14 authors at 4 institutions in 2 countries.

Laurence WeinbergDepartment of Anaesthesia, Austin Health, Melbourne, VIC, Australia.
Dominic WalpoleDepartment of Anaesthesia, Austin Health, Melbourne, VIC, Australia.
Dong Kyu LeeDepartment of Anesthesiology and Pain Medicine, Dongguk University Ilsan Hospital, Goyang, South Korea.
Michael D'SilvaDepartment of Anaesthesia, Austin Health, Melbourne, VIC, Australia.
Jian Wen ChanDepartment of Anaesthesia, Austin Health, Melbourne, VIC, Australia.
Lachlan Fraser MilesDepartment of Anaesthesia, Austin Health, Melbourne, VIC, Australia.
Bradly CarpDepartment of Anaesthesia, Austin Health, Melbourne, VIC, Australia.
Adam WellsDepartment of Cardiac Surgery, Epworth Eastern Hospital, Melbourne, VIC, Australia.
Tuck Seng NgunDepartment of Anaesthesia, Austin Health, Melbourne, VIC, Australia.
Siven SeevanayagamDepartment of Cardiac Surgery, Austin Health, Melbourne, VIC, Australia.
George MatalanisDepartment of Cardiac Surgery, Austin Health, Melbourne, VIC, Australia.
Ziauddin AnsariDepartment of Intensive Care, Epworth Eastern Hospital, Melbourne, VIC, Australia.
Rinaldo BellomoDepartment of Critical Care, The University of Melbourne, Melbourne, VIC, Australia.
Michael YiiDepartment of Cardiac Surgery, Epworth Eastern Hospital, Melbourne, VIC, Australia.
Austin Health · AUEpworth Hospital · AUThe University of Melbourne · AUDongguk University Ilsan Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There have been multiple recent advancements in the selection, optimisation and management of patients undergoing cardiac surgery. However, there is limited data regarding the outcomes in nonagenarians, despite this cohort being increasingly referred for these interventions. The objective of this study was to describe the patient characteristics, management and outcomes of a cohort of nonagenarians undergoing cardiac surgery receiving contemporary peri-operative care. Methods: After receiving ethics approval, we conducted a retrospective observational study of nonagenarians who had undergone cardiac surgery requiring a classic median sternotomy. All operative indications were included. We excluded patients who underwent transcatheter aortic valve implantation (TAVI), and surgery on the thoracic aorta Results: A total of 12,358 adult cardiac surgery patients underwent surgery during the study period, of whom 18 nonagenarians (0.15%) fulfilled inclusion criteria. The median (IQR) [min-max] age was 91.0 years (90.0:91.8) [90-94] and the median body mass index was 25.0 (kg/m Conclusion: In this selected, contemporary cohort of nonagenarian patients undergoing cardiac surgery, postoperative 6-month mortality was zero. These findings support carefully selected nonagenarian patients being offered cardiac surgery (Trials Registry: https://www.anzctr.org.au/ACTRN12622000058774.aspx).

Indexed as

acute kidney injuryanesthesiacardiac surgerycomplicationsdeliriummortalitynonagenariansoutcomes

Identifiers

PMID35911518
PMCPMC9330044
OpenAlexW4285388808

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.