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Outcomes of coronary artery bypass graft surgery in 24,461 patients aged 80 years or older.

Publication ,  Journal Article
Peterson, ED; Cowper, PA; Jollis, JG; Bebchuk, JD; DeLong, ER; Muhlbaier, LH; Mark, DB; Pryor, DB
Published in: Circulation
November 1, 1995

BACKGROUND: Coronary artery bypass graft surgery is increasingly common in patients of age > or = 80 years. Single-institution reviews have cited a wide range of mortality results after bypass surgery in this age group, in part because of limited sample sizes. Using claims data, we examined recent national trends in the use and outcomes of bypass surgery in the very elderly. METHODS AND RESULTS: From an examination of Medicare data from 1987 through 1990, we identified 24,461 patients of age > or = 80 years who underwent bypass surgery. We compared surgical outcomes in these patients with those in Medicare patients of age 65 to 70 years. We found that the national use of bypass surgery in patients of age > or = 80 years increased 67% between 1987 and 1990. Compared with patients of age 65 to 70 years, the very elderly had significantly longer postoperative hospital stays (mean, 14.3 versus 10.4 days), higher charges (mean, $48,200 versus $38,000), and greater costs (mean, $27,200 versus $21,700). In-hospital (11.5% versus 4.4%), 1-year (19.3% versus 7.9%), and 3-year mortality rates (28.8% versus 13.1%) after bypass surgery were also significantly higher in patients of age > or = 80 years compared with younger patients. Although their initial surgical risk was high, octogenarians who underwent bypass surgery had a long-term survival rate similar to that of the general US octogenarian population. CONCLUSIONS: The use of bypass surgery in patients of age > or = 80 years in increasing. These very elderly patients face high surgical risks and accumulate significant hospital expenses. Further research is indicated to determine whether the long-term benefits from bypass surgery in the very elderly outweigh the increased procedural risks.

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Published In

Circulation

DOI

ISSN

0009-7322

Publication Date

November 1, 1995

Volume

92

Issue

9 Suppl

Start / End Page

II85 / II91

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Mortality
  • Male
  • Length of Stay
  • Humans
  • Heart Diseases
  • Health Services
  • Health Care Costs
  • Female
  • Coronary Artery Bypass
 

Citation

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Peterson, E. D., Cowper, P. A., Jollis, J. G., Bebchuk, J. D., DeLong, E. R., Muhlbaier, L. H., … Pryor, D. B. (1995). Outcomes of coronary artery bypass graft surgery in 24,461 patients aged 80 years or older. Circulation, 92(9 Suppl), II85–II91. https://doi.org/10.1161/01.cir.92.9.85
Peterson, E. D., P. A. Cowper, J. G. Jollis, J. D. Bebchuk, E. R. DeLong, L. H. Muhlbaier, D. B. Mark, and D. B. Pryor. “Outcomes of coronary artery bypass graft surgery in 24,461 patients aged 80 years or older.Circulation 92, no. 9 Suppl (November 1, 1995): II85–91. https://doi.org/10.1161/01.cir.92.9.85.
Peterson ED, Cowper PA, Jollis JG, Bebchuk JD, DeLong ER, Muhlbaier LH, et al. Outcomes of coronary artery bypass graft surgery in 24,461 patients aged 80 years or older. Circulation. 1995 Nov 1;92(9 Suppl):II85–91.
Peterson, E. D., et al. “Outcomes of coronary artery bypass graft surgery in 24,461 patients aged 80 years or older.Circulation, vol. 92, no. 9 Suppl, Nov. 1995, pp. II85–91. Pubmed, doi:10.1161/01.cir.92.9.85.
Peterson ED, Cowper PA, Jollis JG, Bebchuk JD, DeLong ER, Muhlbaier LH, Mark DB, Pryor DB. Outcomes of coronary artery bypass graft surgery in 24,461 patients aged 80 years or older. Circulation. 1995 Nov 1;92(9 Suppl):II85–II91.

Published In

Circulation

DOI

ISSN

0009-7322

Publication Date

November 1, 1995

Volume

92

Issue

9 Suppl

Start / End Page

II85 / II91

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Mortality
  • Male
  • Length of Stay
  • Humans
  • Heart Diseases
  • Health Services
  • Health Care Costs
  • Female
  • Coronary Artery Bypass