In-Hospital and Long-Term outcomes after Open-Heart Surgery in Turkish Octogenarians: a Single-Center Study

Aksüt, Mehmet; Günay, Deniz; Özer, Tanıl; Yerlikhan, Özge Altaş; Selçuk, Emre; Kırali, Mehmet Kaan

doi:10.21470/1678-9741-2020-0013

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…The median survival time was found to be 4.4±0.3 years for all participants. The long-term survival of patients who underwent emergency cardiac surgery was significantly lower than that of elective patients (log-rank <0.001) [37].…”

Section: Discussionmentioning

confidence: 89%

A Cox’s Proportional Model to Assess Survival Prognostic Factors in Patients Over 85 Years of Age Undergoing Heart Surgery

2022

Int J Geriatr Gerontol

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Introduction: "The progressive and growing prevalence of octuagenarians (O) and over-octuagenarians (>O), susceptible to cardiac surgery has generated an ethical and economic reflection on the usefulness and opportunity to use the limited resources of intensive care for these patients. Methods: The primary end point of the study has been highlight any difference in postoperative and ICU mortality between patients (O) and (>O) by setting a Cox's proportional hazard model. Results: The 6.9% of the population studied were 85 years of age or older; therefore the over 85 yrs sub-group (≥ 85 yrs.) was 889 patients and the under 85 yrs sub-group 11966. Hospital mortality was found to be significantly higher (+4.3%) in the over 85 yrs. Factors significantly associated with postoperative hospital survival of over 85 yrs. were found to be: (i) male gender, arterial disease, COPD, pathology of the aortic and mitral valve; (ii) interaction unstable angina and common trunk obstruction, the value of the CCS scale; (iii) RBC and FFP transfusions, together with total blood loss; (iv) post-operative septic shock, acute renal failure, cerebral stroke, mechanical ventilation, ventilator associated pneumonia, and tracheostomy. Conclusions: Our data suggest the importance of the age variable as well as the fact that the two populations are distinct and different. A further and future multivariate analysis will be conducted with the use of propensity score matching.

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Section: Discussionmentioning

confidence: 89%

A Cox’s Proportional Model to Assess Survival Prognostic Factors in Patients Over 85 Years of Age Undergoing Heart Surgery

2022

Int J Geriatr Gerontol

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“…Similarly, the number of cardiac surgeries in the Middle East has increased. In Turkey, for example, it is estimated that 20,000 cardiac surgeries are performed yearly [6].…”

Section: Introductionmentioning

confidence: 99%

Self-Care Behaviors among Patients after Cardiac Surgery in Saudi Arabia: Application of Orem’s Theory of Self-Care

et al. 2023

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Aims. To examine the self-care behaviors of Saudi patients who had cardiac surgery after hospital discharge and to investigate how much variation in self-care behavior may be attributed to patients’ basic conditioning factors (BCFs). Background. Self-care behaviors following cardiac surgery should be appropriate for the patient’s circumstances to decrease hospital readmissions and maintain good health. Design. A cross-sectional design guided this study. Orem’s Theory of Self-Care was applied as a theoretical framework. Materials & Methods. The Self-Care Behavior Scale (SCBS) was used to gather data from 150 patients who experienced cardiac surgery after they were discharged from cardiac centers in two large cities in Saudi Arabia. Results. The two self-care behaviors performed most frequently concerned taking medications as prescribed. The other three self-care behaviors frequently performed were avoiding any strain, assessing all incisions for signs of infection, and contacting a physician if any signs of infection appeared. There was a statistically significant difference between patients’ total self-care behaviors according to their BCFs. Married patients reported significantly more self-care behaviors than single patients. Patients with only valve replacement (VR) surgery performed more self-care behaviors than the coronary artery bypass graft (CABG) and VR groups. These factors positively influence (61.2%) self-care behavior and performance. Conclusion. Cardiac surgery patients showed moderate self-care behavior after being discharged from hospital. Furthermore, the results of this study showed statistically significant variation in patients' self-care behaviors based on their BCFs.

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In-Hospital and Long-Term outcomes after Open-Heart Surgery in Turkish Octogenarians: a Single-Center Study

Cited by 2 publications

References 5 publications

A Cox’s Proportional Model to Assess Survival Prognostic Factors in Patients Over 85 Years of Age Undergoing Heart Surgery

A Cox’s Proportional Model to Assess Survival Prognostic Factors in Patients Over 85 Years of Age Undergoing Heart Surgery

Self-Care Behaviors among Patients after Cardiac Surgery in Saudi Arabia: Application of Orem’s Theory of Self-Care

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