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Journals / Türk Geriatri Dergisi / 2017 / Cilt: 20 - Sayı: 1

PREDICTORS OF MORTALITY IN OCTOGENERIANS WHO UNDERWENT CORONARY ARTERY BYPASS GRAFTING AFTER AN ACUTE CORONARY SYNDROME

OKTOGENERYANLARDA AKUT KORONER SENDROM SONRASI YAPILAN KORONER ARTER BAYPAS CERRAHİSİ MORTALİTE PREDİKTÖR ANALİZİ

Ahmet Fatih ÖZYAZICIOĞLU
Burak ERDOLU
Derih AY
Ufuk AYDIN
Tamer TÜRK
Yusuf ATA
Pages
17–22
Publication Date
2022-11-05
DOI
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⚡ TL;DR(Too Long; Didn't Read)

The factors related with mortality were pre-operative chronic obstructive pulmonary disease (p=0.009); elevated creatinine levels (p=0.004); decreased left ventricular ejection fraction (p=0.045) and use intra-aortic ballon pump support (p

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Objective & Hypothesis:Introduction: Coronary artery bypass grafting is increasingly being performed on patients with advanced age.
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Key Findings & Data:We aimed to investigate the outcomes of early coronary artery bypass grafting in octogenerians within the first month of an acute coronary syndrome.Materials and Method: This study enrolled 94 octogenerian patients who underwent early coronary artery bypass grafting after acute coronary syndrome between March 2005 and May 2015.
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Conclusion & Impact:The factors related with mortality were pre-operative chronic obstructive pulmonary disease (p=0.009); elevated creatinine levels (p=0.004); decreased left ventricular ejection fraction (p=0.045) and use intra-aortic ballon pump support (p
🔬Design:Research Article
📍Scope:2005 Verileri
⚙️Variables:Domain Parameters

Abstract

Introduction: Coronary artery bypass grafting is increasingly being performed on patients with advanced age. We aimed to investigate the outcomes of early coronary artery bypass grafting in octogenerians within the first month of an acute coronary syndrome.Materials and Method: This study enrolled 94 octogenerian patients who underwent early coronary artery bypass grafting after acute coronary syndrome between March 2005 and May 2015. The pre-operative and post-operative variables were assesed retrospectively.Results: Mean age of the patients was 81.8±2.39 years; 53 patients (56.3%) were men and 41 (43.7%) were women. In-hospital mortality rate was 14.8% (14 patients). The factors related with mortality were pre-operative chronic obstructive pulmonary disease (p=0.009); elevated creatinine levels (p=0.004); decreased left ventricular ejection fraction (p=0.045) and use intra-aortic ballon pump support (p

Özet

Giriş: Koroner arter baypas greftleme (CABG) operasyonları, ileri yaş grubu hasta grubunda gittikçe artan sıklıkta yapılmaktadır. Bu çalışmada akut koroner sendrom sonrası CABG uygulanan 80 yaş ve üstü hasta grubunda mortalite prediktörlerinin analiz edilmesi amaçlanmıştır.Gereç ve Yöntem: Kliniğimizde Mart 2005 ile Mayıs 2015 tarihleri arasında CABG uygulanan 94 hasta çalışmaya dahil edildi. Hastaların preoperatif ve postoperatif verileri retrospektif olarak incelendi. Bulgular: Hastaların ortalama yaşı 81.8±2.39 idi. Elli üç (% 56.3) hasta erkek, 41 (%43,7) hasta ise kadındı. Hastane içi mortalite % 14.8 (14 hasta) olarak gerçekleşti. Preoperatif Kronik Obstruktif Akciğer Hastalığı (KOAH) olanlarda (p=0.009), kreatinin yüksekliği olanlarda (p=0.004), düşük sol ventrikül ejeksiyon fraksiyonu olanlarda (p=0.045), yoğun bakım kalış süreleri uzun olanlarda (p= 0.010) ve İntraaortik Balon Pompası (İABP) ihtiyacı olanlarda (p=0.000) mortalite daha yüksek bulundu. Ayrıca, preoperatif yüksek kreatinin değerleri ve KOAH varlığı postoperatif mortalite için bağımsız prediktörler olarak bulunmuştur.Sonuç: Oktogeneryanlarda CABG sonrası mortalite gençlere oranla daha yüksek bulunmasına rağmen preoperatif dönemde böbrek fonksiyon bozukluğu ve KOAH'ın uygun medikasyonlarla tedavi edilmesi ile mortalite oranları daha da düşürülebilir.

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Cite This Article

ÖZYAZICIOĞLU, A. F., ERDOLU, B., AY, D., AYDIN, U., TÜRK, T., ATA, Y. (2022). PREDICTORS OF MORTALITY IN OCTOGENERIANS WHO UNDERWENT CORONARY ARTERY BYPASS GRAFTING AFTER AN ACUTE CORONARY SYNDROME. Türk Geriatri Dergisi, Cilt: 20 - Sayı: 1, 17–22. https://ajindex.com/articles/623743

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