Aortic Valve Replacement in Octogenarians
Author Information
Author(s): Bose Amal K, Aitchison James D, Dark John H
Primary Institution: The Freeman Hospital
Hypothesis
What are the outcomes of aortic valve replacement in patients aged 80 and older?
Conclusion
Aortic valve replacement is a safe and effective treatment for octogenarians, with good operative mortality and excellent mid to long-term outcomes.
Supporting Evidence
- Survival was 80% at 1 year and 78% at 2 years after surgery.
- Chronic obstructive airways disease was identified as an independent predictor of mortality.
- Follow-up data collection was 100% complete.
Takeaway
Older people can safely have heart valve surgery, and many live just as long as their peers who didn't have the surgery.
Methodology
Retrospective review of 68 patients aged 80 or more who underwent aortic valve replacement at a single hospital.
Potential Biases
Selection bias may exist as the study only included carefully selected patients for surgery.
Limitations
The study is small and retrospective, lacking quality of life assessments and potentially subject to selection bias.
Participant Demographics
Mean age was 83.2 years, with 58% male participants.
Statistical Information
P-Value
p<0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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