Influence of Age on Cardiac Surgery Outcomes in United States Veterans

• DOI: 10.1532/hsf.2907
• Publication Date: 2020-04-16T22:17:57Z
• Authors: Kyongjune Benjami...; Ethan S. Rosenfeld; Michael A. Napoli...; Sheena W. Chen; Richard L. Amdur; Michael D. Greenberg; Gregory D. Trachi...
• Keywords: Aged, 80 and over; Male; Incidence; Age Factors; Middle Aged; Prognosis; Risk Assessment; United States; 3. Good health; Survival Rate; 03 medical and health sciences; Age Distribution; Postoperative Complications; 0302 clinical medicine; Cardiovascular Diseases; Risk Factors; Cause of Death; Humans; Female; Cardiac Surgical Procedures; Aged; Retrospective Studies; Veterans

Objective: Heart disease is still the leading cause of death for both men and women in United States, rate cardiovascular veterans even higher than civilians. This study examines age-related outcomes undergoing cardiac surgeries at a single institution. Methods: We included all coronary artery bypass grafting (CABG) and/or valve surgery between 1997 to 2017 Veterans Affairs (VA) medical center. stratified this cohort into 4 age groups: ≤59 years old, 60–69 70–79 ≥80 old. Outcomes groups were compared using standard statistical methods with old group as reference. Results: A total 2,301 patients underwent open procedures our The frequency simultaneous CABG operations increased age. Usage cardiopulmonary versus off-pump operative time was not associated Increased pulmonary renal complications well rates postoperative arrhythmias increasing There no statistically significant difference 30-day mortality. However, multivariable analysis adjusted covariates showed all-cause mortality significantly older (aHR old: 2.94 [2.07-4.17], P < .01; aHR 70-79 2.15 [1.63-2.83], 0.01, reference). Conclusions: Older may have comparable perioperative their younger counterparts. predictor mortality, complications, arrhythmia, should be considered major factor preoperative risk assessment.