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Gabe, E.D.; Favaloro, R.R.; Favaloro, M.R.; Raffaelli, H.A.; Machaín, A.H.; Abud, J.A.; Dulbecco, E.A.; García Ben, M.; Toledo, D.; Macchia, A. "Coronary Artery Bypass Grafting in Elderly Patients. In-Hospital Results and Long-Term Follow-up " (2001) Revista Espanola de Cardiologia. 54(6):709-714
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Abstract:

Background. Taking into account the steady increase in the number of elderly patients requiring coronary artery bypass grafting, we sought to analyze the in-hospital and long-term evolution of a group of elderly patients (≥ 75 years) who underwent coronary artery bypass grafting, and to identify clinical predictors of mortality and long-term symptoms. Methods. Between April 1996 and February 2000, 207 patients older than 75 years of age who had undergone coronary bypass grafting were propectively and consecutively analyze. Mean age was 78.4 ± 2.7. Results. An average of 2.6 grafts/patients was constructed. Left mammary artery was used in 93% of patients. The in-hospital incidence of heart failure, atrial fibrillation, preoperative infarction and stroke was 38%, 29%, 4.8% and 2.8% respectively. The in-hospital mortality rate was 5.8%. Mean follow-up was 18 months (25th an 75th percentiles 9-29). Late mortality rate was 4.1% in eight patients. Excluding the in-hospital deaths, the estimaded probability of survival (Kaplan-Meier) at 3 years was 94% and the survival freedom from symptoms was 86%. A multivariate analysis showed that only age was predictor of in-hospital mortality (OR 1.16, p = 0.009). Only peripheral vascular disease was found as a predictor of symptoms during the long-term follow-up (p = 0.001). Conclusions. In this series of senile patients who underwent coronary surgery, those of an older age (> 80 years) showed a higher risk of in-hospital mortality. The presence of peripheral vascular disease is useful in the prognosis assessment of the group.

Registro:

Documento: Artículo
Título:Coronary Artery Bypass Grafting in Elderly Patients. In-Hospital Results and Long-Term Follow-up
Autor:Gabe, E.D.; Favaloro, R.R.; Favaloro, M.R.; Raffaelli, H.A.; Machaín, A.H.; Abud, J.A.; Dulbecco, E.A.; García Ben, M.; Toledo, D.; Macchia, A.
Filiación:Departamento de Cardiología, Inst. Cardiol. y Cirugia Cardiovasc., Fundación Favaloro, Buenos Aires, Argentina
Depto. de Cirugía Cardiovasc., Inst. Cardiol. y Cirugia Cardiovasc., Fundación Favaloro, Buenos Aires, Argentina
Dept. A. Buenos Aires, Arcos, 2241 (1428), Argentina
Palabras clave:Aging; Coronary artery disease; Surgery; age; aged; article; coronary artery disease; female; heart muscle revascularization; hospitalization; human; male; mortality; prospective study; survival rate; time; Age Factors; Aged; Coronary Disease; Female; Hospitalization; Humans; Male; Myocardial Revascularization; Prospective Studies; Survival Rate; Time Factors
Año:2001
Volumen:54
Número:6
Página de inicio:709
Página de fin:714
Título revista:Revista Espanola de Cardiologia
Título revista abreviado:Rev. Esp. Cardiol.
ISSN:03008932
CODEN:RCDOA
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_03008932_v54_n6_p709_Gabe

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Citas:

---------- APA ----------
Gabe, E.D., Favaloro, R.R., Favaloro, M.R., Raffaelli, H.A., Machaín, A.H., Abud, J.A., Dulbecco, E.A.,..., Macchia, A. (2001) . Coronary Artery Bypass Grafting in Elderly Patients. In-Hospital Results and Long-Term Follow-up . Revista Espanola de Cardiologia, 54(6), 709-714.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_03008932_v54_n6_p709_Gabe [ ]
---------- CHICAGO ----------
Gabe, E.D., Favaloro, R.R., Favaloro, M.R., Raffaelli, H.A., Machaín, A.H., Abud, J.A., et al. "Coronary Artery Bypass Grafting in Elderly Patients. In-Hospital Results and Long-Term Follow-up " . Revista Espanola de Cardiologia 54, no. 6 (2001) : 709-714.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_03008932_v54_n6_p709_Gabe [ ]
---------- MLA ----------
Gabe, E.D., Favaloro, R.R., Favaloro, M.R., Raffaelli, H.A., Machaín, A.H., Abud, J.A., et al. "Coronary Artery Bypass Grafting in Elderly Patients. In-Hospital Results and Long-Term Follow-up " . Revista Espanola de Cardiologia, vol. 54, no. 6, 2001, pp. 709-714.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_03008932_v54_n6_p709_Gabe [ ]
---------- VANCOUVER ----------
Gabe, E.D., Favaloro, R.R., Favaloro, M.R., Raffaelli, H.A., Machaín, A.H., Abud, J.A., et al. Coronary Artery Bypass Grafting in Elderly Patients. In-Hospital Results and Long-Term Follow-up . Rev. Esp. Cardiol. 2001;54(6):709-714.
Available from: https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_03008932_v54_n6_p709_Gabe [ ]