Abstract
ObjectiveWe aimed to analyze the early and long-term results of open-heart surgery in Turkish patients aged 80 years or older who were operated on at our center.MethodsAll patients aged 80 years or older who underwent surgery between January 2000 and December 2013 at a high-level heart center were included in the study. The in-hospital data of study patients were obtained from the electronic database and from the hospital files. Survival data were analyzed as a long-term outcome.ResultsA total of 245 patients aged 80-93 years were evaluated in the study. The patients were followed up 5.4±3.7 years after open-heart surgery. In-hospital mortality rates were 10% in elective cases and 15.1% overall. Age ≥85 years, chronic kidney disease, chronic obstructive pulmonary disease, and emergency surgery were independent predictors of in-hospital mortality. The median survival time was found to be 4.4±0.3 years for all participants. The long-term survival of patients who underwent emergency cardiac surgery was significantly lower than that of elective patients (log-rank <0.001).ConclusionOctogenarians have satisfactory long-term outcomes after open-heart surgery when operated electively. On the other hand, patients operated under emergency conditions have worse in-hospital outcomes and long-term follow-up results.
Highlights
The number of people over 80 years old in Turkey has gradually increased, in line with worldwide statistics
The worldwide cardiovascular disease prevalence is 40% among this age group; studies carried out in Turkey indicate that this ratio ranges from 13% to 23%[2,3,4,5,6]
The present study aimed to evaluate the data of all octogenarian patients who underwent open heart surgery at the study center between January 2000 and December 2013
Summary
The number of people over 80 years old in Turkey has gradually increased, in line with worldwide statistics. The worldwide cardiovascular disease prevalence is 40% among this age group; studies carried out in Turkey indicate that this ratio ranges from 13% to 23%[2,3,4,5,6]. Studies carried out in developed countries have shown that early and long-term outcomes of open-heart surgery are successful in this high-risk patient group[7,8,9,10,11,12,13]. The number of studies analyzing the outcomes of open-heart surgery in the Turkish octogenarian population is inadequate. A few studies have been conducted in small patient groups; the early and mid-term outcomes of these patients were analyzed, and worse outcomes were reported when compared to those in developed countries[14,15]
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