Invasive Treatment for Coronary Artery Disease in the Elderly

Gold, Susan; Wong, Warren F.; Schatz, Irwin J.; Blanchette, Patricia L.

doi:10.1001/archinte.1991.00400060033006

Cited by 10 publications

(2 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These results certainly suggest a trend to be further investigated in a study of increased sample size. Although the sample was relatively small (n = 46) in the present study, the sample was representative of the general population undergoing CABG in such respects as 30-day mortality rate and proportion of women operated (4% and 17%, respectively), which compare favorably with those reported in larger-scale studies (3,4,6).…”

Section: Discussionsupporting

confidence: 56%

“…The rising number of elderly patients in whom CABG is indicated, and the increasing limitations on health care resources, require a new and more rational approach to the selection of surgical candidates, with greater emphasis on the likelihood of benefit from surgery. Although elderly and younger candidates may have similar preoperative cardiac conditions, the incidence of non-cardiac preoperative comorbidities such as diabetes, chronic obstructive pulmonary disease (COPD), hypertension, previous stroke, and renal insufficiency is significantly higher in the older patients (2)(3)(4)(5). Such preoperative comorbidities may affect CABG outcome.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Functional Status May Serve as a Predictor of CABG Surgery Outcome in the Elderly Patient

Mayer¹,

Morin²

2020

MJM

View full text Add to dashboard Cite

Despite the growing number of elderly patients undergoing coronary artery bypass graft (CABG) surgery, no study addressing postoperative outcome from the perspective of preoperative functional status has been reported to date. The present investigation therefore undertook to determine, among elderly individuals matched for cardiac status, whether patients with poor functional status have a greater risk of mortality and morbidity following CABG surgery than those with good functional status. Retrospective preoperative and postoperative geriatric functional assessment using a standardized questionnaire was performed on 46 consecutive patients who had undergone CABG in 1994 at age 65 or older. Preoperative functional status was comprised of pre-anginal functional status (before angina limited physical activity) and anginal functional status (during which angina was a noticeable limiting factor). CABG outcome was recorded in terms of postoperative assessment of functional status, morbidity, and mortality. The results of statistical analysis revealed that both pre-anginal and anginal functional status were sensitive predictors of post-operative functional status (p < 0.005 and p < 0.001, respectively). In addition, the presence of comorbidities typically used in the screening of candidates was found to be a sensitive predictor of outcome (p < 0.02). However, the presence of comorbidities was not significantly linked to poor preoperative functional status (p > 0.05), indicating that these two predictors may screen for different elderly sub-populations at high risk for negative outcome of CABG. If confirmed by further studies of elderly patients undergoing CABG, these results suggest a new and important role for functional status as a predictor of CABG outcome in the elderly. Furthermore, these results may be useful toward the development of a reliable tool in screening for high risk of poor outcome among elderly candidates for CABG surgery.

show abstract

Section: Discussionsupporting

confidence: 56%