TY  - JOUR
TT  - Coronary Bypass Surgery in Octagenarians with Acceptable Mortality and Morbidity
AU  - Balcı, Ahmet Yavuz
AU  - Kısa, Uğur
AU  - Tuygun, Abdullah Kemal
AU  - Kızılay, Mehmet
AU  - Özdemir, Fatih
AU  - Vural, Ünsal
AU  - Aksoy, Rezan
AU  - Şensöz, Yavuz
AU  - Kayacioğlu, İlyas
AU  - Yekeler, İbrahim
PY  - 2013
DA  - June
JF  - Kocaeli Tıp Dergisi
PB  - Kocaeli Derince Eğitim ve Araştırma Hastanesi
WT  - DergiPark
SN  - 2147-0758
SP  - 5
EP  - 9
VL  - 2
IS  - 2
KW  - Seksen yaş
KW  - Koroner baypas cerrahisi
N2  - Objective: The prudence for high morbidity and mortality in elderly patients might be a limitation for a proper approach to this group of patients. The main reasons for this hesitation are the relatively low life expectancy in these patients and the possible neurologic, renal and pulmonary problems which might not be well tolerated if occur as a consequenceofcardiopulmonarybypass. Materials and metods: Patients underwent isolated coronary artery bypass surgery between 2008 and 2012 were evaluated retrospectively. The patients were grouped as the Study Group (Group I, n=131, age 80 years-old and over), and the Control Group (Group II, n=173, age between 50 and 69 years-old). Both groups were compared to each other in terms of preoperative risk factors and results in the postoperative early period (30 dayspostoperatively). Results: When two groups were evaluated according to at least a single complication taking place, the estimated relative risk was 2.5 for the Study Group when compared to the Control Group (p<0.05). The diabetic patients' estimated relative risk was 2 when compared to non-diabetics (p<0,05). According to Euroscore standard values, the high risk group had a estimated relative risk value of 5.8 when compared to low risk group (p<0,05). NYHA Class III and higher patients had a estimated relative risk value of 1.8 when compared to those in more favorable condition. Conclusion: We believe coronary artery bypass surgery can be applied safely with an acceptable risk to those over 80 years-of-age with proper timing after proper evaluation.
UR  - https://dergipark.org.tr/tr/pub/kotder/article/447621
L1  - https://dergipark.org.tr/tr/download/article-file/513312
ER  -