Árangur kransæðahjáveituaðgerða og ósæðarlokuskipta hjá öldruðum

• Main Authors: Martin Ingi Sigurdsson, Sólveig Helgadóttir, Inga Lára Ingvarsdottir, Sindri Aron Viktorsson, Kári Hreinsson, Þórarinn Arnórsson, Tómas Guðbjartsson
• Other Authors: Department of Cardiothoracic Surgery, Landspitali The National University Hospital, Reykjavik, Iceland.
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2012
• Subjects: Kransæðasjúkdómar; Aldraðir; Hjartasjúkdómar; Hjartalækningar; Hjartaaðgerðir; Age Factors; Aged; 80 and over; Aortic Valve; Aortic Valve Stenosis; Cardiovascular Diseases; Coronary Artery Bypass; Coronary Artery Disease; Female; Heart Valve Prosthesis Implantation; Hospital Mortality; Humans; Iceland; Intensive Care Units; Length of Stay; Male; Middle Aged; Retrospective Studies; Risk Assessment; Risk Factors; Survivors; Time Factors; Treatment Outcome; Smella
• Online Access: http://hdl.handle.net/2336/221974

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open OBJECTIVE: To study the outcome of open heart surgery in an increasing population of elderly patients in Iceland. MATERIAL AND METHODS: A retrospective study of patients (n=876) that underwent coronary artery bypass (CABG) or aortic valve replacement (AVR) for aortic stenosis in Iceland 2002-2006. Complication rates, operative mortality and long-term survival were compared between patients older (n=221, 25%) and younger (n=655, 75%) than 75 years. Long-term survival of the older group was compared to an age and sex matched reference population. RESULTS: Older patients had a higher incidence of atrial fibrillation (57% vs. 37%, p<0.001), stroke (5% vs. 1%, p=0.009) and operative mortality (9% vs. 2%, p<0.001) following CABG. Length of ICU stay was similar but total length of stay was one day longer in the older cohort. Following AVR, older patients had a higher incidence of atrial fibrillation (90% vs. 71%, p=0.006), ARDS (19% vs. 7%, p=0.04), myocardial infarction (21% vs. 8%, p=0.05) and operative mortality (11% vs. 2%, p=0.04). The ICU stay was a day longer and the total length of stay was about four days longer in the older cohort. A total of 75% of the older patients were alive five years after CABG, compared to 74% of the reference population (p=0.87). Similar numbers for AVR were 65% for the patients compared to 74% in the reference population (p=0.06). CONCLUSION: The rate of complications, operative mortality and length of hospital stay is higher in patients older than 75 years compared to younger patients. Survival of the older group of patients indicates good long-term results after open heart surgery for this patient cohort. Tilgangur: Að kanna árangur opinna hjartaskurðaðgerða hjá sífellt stækkandi hópi sjúklinga eldri en 75 ára á Íslandi. Efniviður og aðferðir: Afturskyggn rannsókn á sjúklingum sem gengust undir kransæðahjáveitu- og/eða ósæðarlokuskipti vegna ósæðarlokuþrengsla á Landspítala ...