The American Journal of Surgery
Volume 198, Issue 5 , Pages 633-638 , November 2009

Predictors of surgical mortality and discharge status after coronary artery bypass grafting in patients 80 years and older

  • Raja R. Gopaldas, M.D.

      Affiliations

    • Division of Cardiothoracic Surgery, Baylor College of Medicine, Houston, TX, USA
    • Section of Adult Cardiac Surgery, The Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, TX, USA
    • ,
  • Danny Chu, M.D.

      Affiliations

    • Division of Cardiothoracic Surgery, Baylor College of Medicine, Houston, TX, USA
    • Section of Adult Cardiac Surgery, The Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, TX, USA
    • ,
  • Tam K. Dao, Ph.D.

      Affiliations

    • Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, USA
    • Department of Educational Psychology, University of Houston, Houston, TX, USA
    • ,
  • Joseph Huh, M.D.

      Affiliations

    • Division of Cardiothoracic Surgery, Baylor College of Medicine, Houston, TX, USA
    • Section of Adult Cardiac Surgery, The Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, TX, USA
    • ,
  • Scott A. LeMaire, M.D.

      Affiliations

    • Division of Cardiothoracic Surgery, Baylor College of Medicine, Houston, TX, USA
    • Section of Adult Cardiac Surgery, The Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, TX, USA
    • ,
  • Joseph S. Coselli, M.D.

      Affiliations

    • Division of Cardiothoracic Surgery, Baylor College of Medicine, Houston, TX, USA
    • Section of Adult Cardiac Surgery, The Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, TX, USA
    • ,
  • Faisal G. Bakaeen, M.D.

      Affiliations

    • Division of Cardiothoracic Surgery, Baylor College of Medicine, Houston, TX, USA
    • Section of Adult Cardiac Surgery, The Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, TX, USA
    • Department of Cardiothoracic Surgery, Michael E. DeBakey VAMC, Houston, TX, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-832 489 3202; fax: +1-713 794 7352

Received 28 April 2009 ,Revised 2 July 2009

References 

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  9. Wilson MF, Baig MK, Ashraf H. Quality of life in octagenarians after coronary artery bypass grafting. Am J Cardiol. 2005;95:761–764
  10. Scott BH, Seifert FC, Grimson R, et al. Octogenarians undergoing coronary artery bypass graft surgery: resource utilization, postoperative mortality, and morbidity. J Cardiothorac Vasc Anesth. 2005;19:583–588
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  12. Deiwick M, Tandler R, Mollhoff T, et al. Heart surgery in patients aged eighty years and above: determinants of morbidity and mortality. Thorac Cardiovasc Surg. 1997;45:119–126
  13. Gatti G, Cardu G, Lusa AM, et al. Predictors of postoperative complications in high-risk octogenarians undergoing cardiac operations. Ann Thorac Surg. 2002;74:671–677
  14. Bardakci H, Cheema FH, Topkara VK, et al. Discharge to home rates are significantly lower for octogenarians undergoing coronary artery bypass graft surgery. Ann Thorac Surg. 2007;83:483–489
  15. Nuttall M, van der Meulen J, Emberton M. Charlson scores based on ICD-10 administrative data were valid in assessing comorbidity in patients undergoing urological cancer surgery. J Clin Epidemiol. 2006;59:265–273
  16. Melfi C, Holleman E, Arthur D, et al. Selecting a patient characteristics index for the prediction of medical outcomes using administrative claims data. J Clin Epidemiol. 1995;48:917–926
  17. Kirsch M, Guesnier L, LeBesnerais P, et al. Cardiac operations in octogenarians: perioperative risk factors for death and impaired autonomy. Ann Thorac Surg. 1998;66:60–67
  18. Rodés-Cabau J, Deblois J, Bertrand OF, et al. Nonrandomized comparison of coronary artery bypass surgery and percutaneous coronary intervention for the treatment of unprotected left main coronary artery disease in octogenarians. Circulation. 2008;118:2374–2381

PII: S0002-9610(09)00420-6

doi: 10.1016/j.amjsurg.2009.07.007

The American Journal of Surgery
Volume 198, Issue 5 , Pages 633-638 , November 2009

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