Abstract
Between January 1973 and December 1984, 562 patients aged greater than or equal to 65 had cardiac surgery at Papworth Hospital. Most had mitral or aortic valve replacements (coronary artery bypass grafting was not introduced for this age group at Papworth until 1977). The overall operative mortality, defined as death within thirty days or death before leaving hospital, was 7.3%. There were no early deaths in patients undergoing coronary artery bypass grafting surgery. Questionnaires sent to general practitioners in East Anglia traced 86.0% of the patients who survived to leave hospital. The longer term survival rates for all patients were 88.0%. (95% confidence interval (CI) 85 to 91) at one year and 74.4% (95% CI 69 to 79) at five years. The rates for those patients who survived the initial few months were 96.3% (95% CI 94 to 98) at one year and 81.5% (95% CI 77 to 86) at five years and these rates were no different from those in the general population aged greater than or equal to 65.
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Selected References
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- Bessone L. N., Pupello D. F., Blank R. H., Harrison E. E., Sbar S. Valve replacement in patients over 70 years. Ann Thorac Surg. 1977 Nov;24(5):417–421. doi: 10.1016/s0003-4975(10)63434-0. [DOI] [PubMed] [Google Scholar]
- Gann D., Colin C., Hildner F. J., Samet P., Yahr W. Z., Greenberg J. J. Coronary artery bypass surgery in patients seventy years of age and older. J Thorac Cardiovasc Surg. 1977 Feb;73(2):237–241. [PubMed] [Google Scholar]
- Gersh B. J., Kronmal R. A., Frye R. L., Schaff H. V., Ryan T. J., Gosselin A. J., Kaiser G. C., Killip T., 3rd Coronary arteriography and coronary artery bypass surgery: morbidity and mortality in patients ages 65 years or older. A report from the Coronary Artery Surgery Study. Circulation. 1983 Mar;67(3):483–491. doi: 10.1161/01.cir.67.3.483. [DOI] [PubMed] [Google Scholar]
- Jamieson W. R., Thompson D. M., Munro A. I. Cardiac valve replacement in elderly patients. Can Med Assoc J. 1980 Oct 7;123(7):628–632. [PMC free article] [PubMed] [Google Scholar]
- Kirklin J. W., Kouchoukos N. T., Blackstone E. H., Oberman A. Research related to surgical treatment of coronary artery disease. Circulation. 1979 Dec;60(7):1613–1618. doi: 10.1161/01.cir.60.7.1613. [DOI] [PubMed] [Google Scholar]
- Knapp W. S., Douglas J. S., Jr, Craver J. M., Jones E. L., King S. B., 3rd, Bone D. K., Bradford J. M., Hatcher C. R., Jr Efficacy of coronary artery bypass grafting in elderly patients with coronary artery disease. Am J Cardiol. 1981 Apr;47(4):923–930. doi: 10.1016/0002-9149(81)90195-8. [DOI] [PubMed] [Google Scholar]
- Lee E. T., Desu M. M. A computer program for comparing K samples with right-censored data. Comput Programs Biomed. 1972 Nov;2(4):315–321. doi: 10.1016/0010-468x(72)90019-0. [DOI] [PubMed] [Google Scholar]
- Oh W., Hickman R., Emanuel R., McDonald L., Somerville J., Ross D., Ross K., Gonzelëz-Lavin L. Heart valve surgery in 114 patients over the age of 60. Br Heart J. 1973 Feb;35(2):174–180. doi: 10.1136/hrt.35.2.174. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stephenson L. W., MacVaugh H., 3rd, Edmunds L. H., Jr Surgery using cardiopulmonary bypass in the elderly. Circulation. 1978 Aug;58(2):250–254. doi: 10.1161/01.cir.58.2.250. [DOI] [PubMed] [Google Scholar]
- de Bono A. H., English T. A., Milstein B. B. Heart valve replacement in the elderly. Br Med J. 1978 Sep 30;2(6142):917–919. doi: 10.1136/bmj.2.6142.917. [DOI] [PMC free article] [PubMed] [Google Scholar]