Are Octogenarians in Good Condition after Cardiac Valvular Surgery?
| Autor: | Koji Hashizume, Wataru Hashimoto, Mizuki Sumi, Takashi Miura, Seiji Matsukuma, Tsuneo Ariyoshi, Kiyoyuki Eishi |
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| Rok vydání: | 2014 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors Activities of daily living Heart Valve Diseases Kaplan-Meier Estimate Social support Postoperative Complications Quality of life Risk Factors Surgical technology Surveys and Questionnaires Activities of Daily Living medicine Humans Hospital Mortality Cardiac Surgical Procedures Social Behavior Geriatric Assessment Retrospective Studies Aged 80 and over Motivation business.industry Mortality rate Age Factors Gastroenterology General Medicine Heart Valves Surgery Treatment Outcome Patient Satisfaction Quality of Life Vitality index Female Independent Living Cardiology and Cardiovascular Medicine Complication business Developed country |
| Zdroj: | Annals of Thoracic and Cardiovascular Surgery. 20:1021-1025 |
| ISSN: | 2186-1005 1341-1098 |
| DOI: | 10.5761/atcs.oa.13-00241 |
| Popis: | Purpose: With the aging of society in developed countries and advances in surgical technology in recent years, surgery is increasing in elderly patients. When performing surgery in older patients, both surgical outcomes and the maintenance of postoperative quality of life (QOL) are important issues. This study investigated surgical outcomes and postoperative QOL in octogenarians who underwent cardiac valvular surgery.Methods and Results: Fifty-nine (16 males) octogenarians (80–89 years old, mean age, 82.4 ± 2.4 years) underwent cardiac valvular surgery between August 1999 and June 2011. A QOL questionnaire, which included the Barthel Index (BI), Fillenbaum Instrumental Activities of Daily Living (FIADL), and the Vitality Index (VI), was sent to all survivors. Kaplan-Meier analysis was used to assess survival. Hospital mortality was 1.6% (1 patient). The 3-, 5-, and 7-year survival rates were 81.2%, 75.4%, and 67.8%, respectively. The BI showed that 87.5% of patients did not require caregiving, the FIADL showed that 32.5% were highly independent, and the VI showed that 87.5% were motivated to live.Conclusions: Short-term outcomes were satisfactory, with low complication and mortality rates. Mid-term outcomes showed maintenance of the minimal required ADL and good motivation for living. However, independence in social activities was decreased, suggesting the need for comprehensive social support. |
| Databáze: | OpenAIRE |
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