Cardiac Surgery in the Elderly Patient

Abstract

The lethality risk of a bypass operation can be predicted very accurately with the aid of modern scoring systems. Successful cardiac surgical procedures can return the patient to a normal life expectancy and quality of life for his or her age group.

Hospital Incidence and Mortality Rates of Sepsis: An Analysis of Hospital Episode (DRG) Statistics in Germany From 2007 to 2013

“…Meanwhile, the annual incidence of severe sepsis in Spain is reported to have risen by 8.6% annually to a rate of 85/100 000 (17), while the incidence of severe sepsis in the United Kingdom (not including Scotland) rose by 43% in 10 years (18). In Scandinavia, the incidence of hospital admission via the emergency room because of community-acquired making some patients more susceptible to infection and sepsis-particularly neonates and very elderly patients (27). Sepsis-associated multi-organ failure was first described in the 1970s; in the pre-intensive care era, sepsis of this degree of severity led to death within a few hours.…”

Protein glycation — Between tissue aging and protection

“…However, the outcome of this intervention in the elderly is inferior to those in the young (Rosenfeldt et al, 2002). Analyzing the risk profiles of elderly patients by means of data sets from all cardiac surgical centers in Germany for the year 2007 (a total of 47,881 operations), patients older than 75 years have 1) significantly more prognosis-determining comorbidities and risk factors and 2) higher complication rates and lethality as for example a 3.7-fold elevation for in-hospital lethality compared to patients younger than 65 years (Friedrich et al, 2009). While early reperfusion of ischemic myocardium seems to be the gold standard of treatment, reperfusion by itself, especially when it is delayed, leads to an accelerated myocardial injury.…”

The quality of life after cardiac surgery in octogenarians and evaluation of its early and mid-term results

“…In most of the studies (5,18,19); diabetes, hypertension, myocardial infarction, congestive heart failure, COPD, mitral and/or aorta valve disease requiring intervention, serious left ventricular function disorder, emergency operation, cerebrovascular disease, that the serum creatinine level is high have been declared as risk factors for the early mortality. The logistic regression analysis results of our study (Table 3) support these risk factors mentioned in the literature.…”

“…As a result of the facts that the mean life duration increases, the success rates and diagnostic methods oriented for the heart diseases in the advanced age group and increase; the number of patients applying for the heart diseases treatments is increasing. Due to the technological developments in the heart and vascular surgery, development of modern surgery strategies and increase experience, the rates of treatment of the old patients with operation is gradually increasing in the last 10 years (5). With these developments in the heart surgery, the acceptable mortality rates in the old patients and the healed long-term survival rates are declared (5,6).…”

“…Due to the technological developments in the heart and vascular surgery, development of modern surgery strategies and increase experience, the rates of treatment of the old patients with operation is gradually increasing in the last 10 years (5). With these developments in the heart surgery, the acceptable mortality rates in the old patients and the healed long-term survival rates are declared (5,6). Aging is a process in which the pathological findings increase together with the decrease in the physiological reserve.…”