title: The quality of life after cardiac surgery in octogenarians and evaluation of its early and mid-term results.
abstract: 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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Clinic of Cardiovascular Surgery, Göztepe Şafak Hospital, İstanbul, Turkey. ikara7881@hotmail.com
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Kara
authors.forename: Yasin
authors.initials: Y
authors.lastname: Ay
authors.forename: Cengiz
authors.initials: C
authors.lastname: Köksal
authors.forename: Cemalettin
authors.initials: C
authors.lastname: Aydın
authors.forename: Mehmet
authors.initials: M
authors.lastname: Yanartaş
authors.forename: Tekin
authors.initials: T
authors.lastname: Yıldırım
mesh_terms: D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures / Q000401:mortality / Q000523:psychology / Q000706:statistics & numerical data*; D058385:Cardiac Valve Annuloplasty / Q000401:mortality / Q000706:statistics & numerical data; D001026:Coronary Artery Bypass / Q000401:mortality / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D006331:Heart Diseases / Q000150:complications; D006344:Heart Septal Defects, Atrial / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000401:mortality / Q000706:statistics & numerical data; D006801:Humans; D053208:Kaplan-Meier Estimate; D016015:Logistic Models; D008297:Male; D011183:Postoperative Complications / Q000401:mortality / Q000628:therapy; D011788:Quality of Life; D012189:Retrospective Studies; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014421:Turkey / Q000453:epidemiology