Elderly discharged home do well after heart valve surgery

Elderly discharged home do well after heart valve surgery
People over the age of 80 generally do well after aortic or mitral valve replacement surgery, especially if they are discharged home, according to a study published in the September issue of The Annals of Thoracic Surgery.

(HealthDay)—People over the age of 80 generally do well after aortic or mitral valve replacement surgery, especially if they are discharged home, according to a study published in the September issue of The Annals of Thoracic Surgery.

Linda Henry, Ph.D., R.N., of the Inova Heart and Vascular Institute in Falls Church, Va., and colleagues examined the variables affecting patient discharge disposition and whether disposition correlated with long-term outcomes in a study involving 307 patients 80 years or older (mean age, 82.9 years) who underwent aortic or from 2002 to 2010.

The researchers found that older, unmarried patients with at least one major complication were significantly more likely to not be discharged home after valve surgery. Cumulative survival was significantly lower at one-year (85.8 versus 94.6 percent) and two-years (80.1 versus 90.3 percent) for those not discharged home. On multivariable analysis, patients not discharged home had significantly poorer one- and two-year survival (hazard ratio, 2.56 and 2.06, respectively). For those not discharged home, significant predictors of increased mortality included length of stay and any major complication, with lower marginally significant.

"Overall, can expect excellent survival after valve surgery," the authors write. "However, we found that patients not discharged home after surgery did not experience as robust of outcomes as those patients discharged to home."

More information: Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Good results with surgery for gynecomastia in bodybuilders

9 hours ago

With attention to some unique patient characteristics, breast reduction surgery achieves good aesthetic outcomes in bodybuilders with gynecomastia—enlargement of the male breast, according to a report in the February issue ...

Web surfing to weigh up bariatric surgery options

Jan 27, 2015

Obese people considering weight-reducing bariatric surgery are only topped by pregnant women when it comes to how often they turn to the Internet for health advice. While most use it to read up on relevant procedures and ...

Device for guided surgery of deviations in long bones

Jan 27, 2015

CEU-UCH Cardenal Herrera University patented a device for surgeries to correct deviations in long bones. The research team used the 3D simulation of an affected bone to determine the mathematical formula ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.