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)

Related Stories

Recommended for you

Level I trauma experience prepares surgeons for battle

date Jul 01, 2015

Soldiers injured during the conflicts in Iraq and Afghanistan have the highest survival rates in history, thanks to the availability of surgeons skilled in combat care. But combat-ready surgical skills are hard to sustain ...

Surgery may help adolescents with frequent migraines

date Jun 29, 2015

(HealthDay)—Migraine surgery may be an effective choice for adolescents who haven't gotten relief from standard treatment, a small study suggests. The findings were published in the June issue of Plastic an ...

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.