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The quality of life after cardiac surgery in octogenarians and evaluation of its early and mid-term results [Anatol J Cardiol]
Anatol J Cardiol. 2012; 12(4): 352-358 | DOI: 10.5152/akd.2012.100  

The quality of life after cardiac surgery in octogenarians and evaluation of its early and mid-term results

İbrahim Kara1, Yasin Ay2, Cengiz Köksal3, Cemalettin Aydın4, Mehmet Yanartaş3, Tekin Yıldırım5
1Clinic of Cardiovascular Surgery, Göztepe Şafak Hospital, İstanbul
2Clinic of Cardiovascular Surgery, Derince Education and Research Hospital, Kocaeli
3Clinic of Cardiovascular Surgery, Kartal Koşuyolu Yüksek İhtisas Education and Research Hospital, İstanbul
4Department of Cardiovascular Surgery, Faculty of Medicine, Bezmialem Vakıf Üniversity, İstanbul
5Özel Göztepe Şafak Hastanesi, Kalp ve Damar Cerrahisi Kliniği İstanbul-Türkiye

Objective: The aim of this study is to evaluate our early and mid- term results and the qualities of life of the patients aged eighty years or older who underwent heart surgery. Methods: Eighty- eight patients aged 80 years and older who underwent open-heart surgery at Göztepe Şafak Hospital between May 2004 and December 2010 have been included to the study. This study was designed as two-stage: in the first stage, determinants of survival were analyzed retrospectively. In the second stage, the quality of life of survived patients was evaluated by using Short- Form 36 (SF-36), Turkish version in the cross-sectional study. The statistical analysis was performed using Fischer’s exact, Pearson Chi-square test, Student t-test, Mann-Whitney U test and logistic regression analysis. Results: In the logistic regression analysis; the left ventricular ejection fraction as <50% (OR: 11.02, 95% CI: 2.6-46.6, p<0.05), application of redo surgery (OR: 8.3, 95% CI: 1.04-66.6, p<0.05), coronary bypass and mitral surgery procedures in the same session (OR: 9.2, 95% CI: 1.6-53.7, p<0.05), left main coronary lesion as >50% (OR: 4.3, 95% CI: 1.1-17.7, p<0.05), preoperative creatinine as >1.8 mg/dl (OR: 14.1, 95% CI: 2.6-76.1, p<0.01), New York Heart Association class III-IV (OR: 4.9, 95% CI: 1.2-20.1, p<0.05), chronic obstructive pulmonary disease (OR: 10.3, 95% CI: 2.5-41.7, p<0.01) were found to be risk factors of hospital mortality. Physical functions, social functions and all sub-scales other than the role limitation depending on the emotional situation were evaluated as general population mean or above. Conclusion: We think that with a successful heart surgery in patients aged 80 years and older under appropriate conditions, their life qualities and mean life expectations can return to normal and they can lead a symptomless life.

Keywords: Cardiac surgery, octogenarian, quality of life, short form-36 scale, logistic regression analysis, survival

İbrahim Kara, Yasin Ay, Cengiz Köksal, Cemalettin Aydın, Mehmet Yanartaş, Tekin Yıldırım. The quality of life after cardiac surgery in octogenarians and evaluation of its early and mid-term results. Anatol J Cardiol. 2012; 12(4): 352-358

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