Hospital and mid-term outcomes in elderly patients under-going off-pump coronary artery bypass grafting--comparison with younger patients--.
BACKGROUND
Clinical outcomes and problems following off-pump coronary artery bypass grafting (OPCAB) in elderly patients have not been clarified.


RESULTS
The surgical results of elderly patients aged 75 years or older (n=50; 38 males, mean age, 78.8 years) were reviewed and compared with those of younger patients (n=95; 79 males, mean age, 63.0 years). The EuroSCORE score was 6.9+/-3.5 in the elderly group and 3.0+/-2.4 in the younger group (p<0.0001). There were no hospital deaths in either group. There was no significant difference in the postoperative complication rate except for atrial fibrillation (40.0% elderly vs 24.2% younger, p=0.0479). Postoperative intensive care unit and hospital stays did not differ. The frequency of blood transfusion was significantly higher in the elderly group (78.0% elderly vs 37.2% younger, p<0.0001). During the mean follow-up of 18.6+/-8.8 months, there was 1 sudden death in the elderly group, but no cardiac deaths in either group. The 32-month cardiac event-free and survival rates were similar for the 2 groups.


CONCLUSIONS
OPCAB provides satisfactory clinical outcomes for elderly as well as younger patients.
Nakamura
Yoshitsugu
Y
Department of Cardiovascular Surgery, Kanto Medical Center NTT EC, Higashigo-tanda, Shinagawa-ku, Tokyo, Japan. nakamura@kmc.mhc.east.ntt.co.jp
Nakano
Kiyoharu
K
Nakatani
Hayao
H
Gomi
Akihiko
A
Sato
Atsuhiko
A
Sugimoto
Koichi
K
D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D001803:Blood Transfusion / Q000706:statistics & numerical data; D001026:Coronary Artery Bypass / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000592:standards; D011182:Postoperative Care / Q000706:statistics & numerical data; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome