Perioperative management and short-term outcomes for patients aged＞ 80 years undergoing coronary artery bypass grafting
10.3760/cma.j.issn.0254-9026.2014.06.004
- VernacularTitle:80岁以上患者冠状动脉旁路移植术后近期疗效和围术期处理
- Author:
Jian LIU
;
Sheng SHI
;
Limin WANG
;
Zhongxiang YUAN
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass,off-pump;
Perioperative procedures;
Treatment outcomes
- From:
Chinese Journal of Geriatrics
2014;33(6):585-587
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the experience of perioperative management and effect of coronary artery bypass grafting (CABG) for patients of aged＞80 years.Methods We studied 118 cases with CABG for patients of age＞80 years from January 2002 to December 2012.The other 1034 cases with CABG for patients aged 60-80 years were enrolled as control group.Logistic regression analysis was used to assess the effect of age on operative mortality and morbidity.Results The recent mortality was higher in group aged＞80 years [6.8％(8 cases) vs.3.1％(32 cases)].Through multivariate logistic regression,the patients aged＞80 years versus control were concerned about some postoperative adverse events as follows:higher mortality (OR =3.45,95 ％ CI:2.86-4.23),dialysis (OR=3.56,95％CI:3.01-4.32) and re-intubation(OR=3.87,95％CI:3.45-4.87),delayed healing of incision(OR=4.05,95 ％ CI:3.47 5.74),prolonged mechanical ventilation(OR=3.76,95 ％ CI:3.435.01),prolonged ICU stay (OR =2.98,95 ％ CI:2.67 4.12),prolonged hospital stay (OR =2.87,95％CI:2.36-3.96).Conclusions Age＞80 years is an important factor of postoperative mortality and morbidity for CABG.We need pay more attention to perioperative management.
