Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/10418
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dc.contributor.authorIshikawa, Sen
dc.contributor.authorBuxton, Brian Fen
dc.contributor.authorManson, Nen
dc.contributor.authorHadj, Andrew Ken
dc.contributor.authorSeevanayagam, Sievnen
dc.contributor.authorRaman, Jai Sen
dc.contributor.authorMatalanis, Georgeen
dc.contributor.authorRosalion, Alexanderen
dc.contributor.authorUeda, Ken
dc.date.accessioned2015-05-15T23:51:42Z
dc.date.available2015-05-15T23:51:42Z
dc.date.issued2007-08-01en
dc.identifier.citationThe Journal of Cardiovascular Surgery; 48(4): 505-8en
dc.identifier.govdoc17653012en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/10418en
dc.description.abstractEarly and late results were studied in order to improve the indication for coronary artery bypass grafting (CABG) and to enhanceA total of 1 973 patients aged 70 years and older who had undergone isolated CABG were studied. Elective operations (EL) were performed in 1 716 patients and 257 patients underwent urgent or emergency operations (UR/EM). Patients were divided into two groups; 104 patients aged 80 years and older (Oct. Group) and 1 869 patients of septuagenarians (Sept. Group). There were no differences between the groups in the number of diseased vessels.Total operative mortality rates in the Oct. and the Sept. groups were 7% and 4%, respectively. The operative mortality of elective surgery was 4% in both groups. The operative mortality of UR/EM CABG was significantly higher in the Oct. group than in the Sept. group (21% vs 6%). Operative mortality was significantly higher in patients with preoperative poor (<49%) left ventricular ejection fraction (LVEF) than in patients with higher (>50%) LVEF (6% vs 3%). Among preoperative risk factors, diabetes mellitus and peripheral vascular disease were significant contributory factors to operative death. In the follow-up study, 70% patients of the Oct. group and 72% patients of the Sept. group survived. Preoperative number of diseased vessels and number of CABG grafts did not influence the early and latePreoperative poor LVEF, diabetes mellitus and peripheral vascular disease were significant contributory factors to operative death. When feasible, CABG in octogenarians should be performed electively.en
dc.language.isoenen
dc.subject.otherAge Factorsen
dc.subject.otherAgeden
dc.subject.otherAged, 80 and overen
dc.subject.otherCoronary Artery Bypass.adverse effects.mortalityen
dc.subject.otherCoronary Artery Disease.complications.mortality.surgeryen
dc.subject.otherFemaleen
dc.subject.otherFollow-Up Studiesen
dc.subject.otherHumansen
dc.subject.otherMaleen
dc.subject.otherPatient Selectionen
dc.subject.otherReoperationen
dc.subject.otherRetrospective Studiesen
dc.subject.otherRisk Factorsen
dc.subject.otherSeverity of Illness Indexen
dc.subject.otherStroke Volumeen
dc.subject.otherTreatment Outcomeen
dc.titleWhat factors influence the results of coronary artery bypass grafting in aged patients?en
dc.typeJournal Articleen
dc.identifier.journaltitleThe Journal of cardiovascular surgeryen
dc.identifier.affiliationishikawa@med.teikyo-u.ac.jpen
dc.identifier.affiliationDepartment of Cardiac Surgery, Austin Hospital University of Melbourne, Melbourne, Australiaen
dc.description.pages505-8en
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/17653012en
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