Authors: Kunihide Nakamura Eisaku Nakamura Katsuhiko Niina Kazushi Kojima
Publish Date: 2010/12/18
Volume: 58, Issue: 12, Pages: 606-611
Abstract
This study aimed to compare postoperative complications and the surgical outcome in patients aged 80 years versus octogenarian patients Another aim was to evaluate the safety and efficacy of early mobilization with early cardiac rehabilitation in octogenariansA retrospective analysis was performed in 138 consecutive patients group Y comprised 118 patients 80 years and group O comprised 20 octogenarians who had undergone valve surgery at the authors’ institution between July 2007 and December 2009 Furthermore the efficacy of early mobilization with early cardiac rehabilitation and longterm results were analyzed in 40 consecutive octogenarian patients undergoing valve surgery from 2000 The late survival followup was 100 completeRedo cardiac operations were more frequent O group 150 vs Y group 34 P = 0011 and the preoperative EuroSCORE was significantly higher in group O than in group Y group O 164 ± 183 vs group Y 75 ± 91 P = 0001 The incidence of delirium/confusion and worsening of renal function after surgery was higher in group O The hospital mortality was 17 in group Y and no hospital death in group O P 099 Early mobilization with early cardiac rehabilitation significantly reduced the incidence of postoperative delirium/confusion and increased the number of patients who could return directly home The actuarial 5year survival rate was 777 for octogenariansAlthough there were more highrisk patients among the octogenarians valve surgery was a safe lowrisk procedure with excellent longterm results Early mobilization with early cardiac rehabilitation was significantly effective and safe for postoperative recovery in octogenarians after cardiac valve surgery
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