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BIBTEX RIS

A idade influencia os desfechos em pacientes com idade igual ou superior a 70 anos submetidos à cirurgia de revascularização miocárdica isolada

2012; Brazilian Society of Cardiovascular Surgery; Volume: 27; Issue: 1 Linguagem: Inglês

10.5935/1678-9741.20120008

ISSN

1678-9741

Autores

Antônio Sérgio Cordeiro da Rocha, Felipe José Monassa Pittella, Andrea De Lorenzo, Valmir Barzan, Alexandre Siciliano Colafranceschi, José Oscar Reis Brito, Marco Antonio de Mattos, Paulo Roberto Dutra da Silva,

Tópico(s)

Cardiac Valve Diseases and Treatments

Resumo

To analyze the results of isolated on-pump coronary artery bypass graft surgery (CABG) in patients >70 years-old in comparison to patients 70 years-old) and G2 (age <70 years-old). The endpoints were in-hospital mortality, acute myocardial infarction (AMI), stroke, reexploration for bleeding, intra-aortic balloon for circulatory shock, respiratory complications, acute renal failure, mediastinitis, sepsis, atrial fibrillation, and complete atrioventricular block (CAVB).1,033 patients were included, 257 (24.8%) in G1 and 776 (75.2%) in G2. Patients in G1 were more likely to have in-hospital mortality than G2 (8.9% vs. 3.6%, respectively; P=0.001), while the incidence of AMI was similar (5.8% vs. 5.5%; P=0.87) than G2. More patients in G1 had re-exploration for bleeding (12.1% vs. 6.1%; P=0.003). G1 had more incidence of respiratory complications (21.4% vs. 9.1%; P<0.001), mediastinitis (5.1% vs. 1.9%; P=0.013), stroke (3.9% vs. 1.3%; P=0.016), acute renal failure (7.8% vs. 1.3%; P 70-year-old was an independent predictive factor for higher in-hospital mortality (P=0.004), reexploration for bleeding (P=0.002), sepsis (P=0.002), respiratory complications (P<0.001), mediastinitis (P=0.016), stroke (P=0.029), acute renal failure (P 70 years-old were at increased risk of death and other complications in the CABG's postoperative period in comparison to younger patients.

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