Abstract

163 Surgery in Octogenarians: Outcomes, Cost and Resource Utilization Simon L. Rohde ∗, Jayme S. Bennetts, John L. Knight, Robert A. Baker Cardiac and Thoracic Surgery, Flinders Medical Centre and Flinders University, Adelaide, South Australia, Australia Purpose: Octogenarians are an increasing proportion of the cardiac surgical population. We aimed to assess the quality of life and cost effectiveness of surgery in this group. Methodology: Data were prospectively collected on all patients operated from 1992 to 2003. 630 octogenarians were identified and the survivors were contacted via phoneanda structuredquality of life interviewconducted. In-hospital costs (ward and intensive care unit (ICU))were assessed. Quality of life and health resource utilization data was compared with age equivalent subjects. Results: Octogenarians spent longer in the ICU and total in hospital stay compared to younger patients. Five-year survival was significantly less in octogenarians compared to septuagenarians (p< 0.0001).

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