ArticleBMC geriatrics2025
Cardiac surgery in older adults: a retrospective cohort study of outcomes and risk score performance in octogenarians versus patients aged 65-79 years.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- Osteosarcopenia in Cardiac Surgery: Standardization, Selection Bias, and Outcome Definition Matter.Geriatrics & gerontology international · 2026Article
- Article
- Risk Stratification for Postoperative Mortality in Cardiac Surgery: "Quo Vadis"?Medicina (Kaunas, Lithuania) · 2026Review
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8 authors.
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Abstract
backgroundThe role of cardiac surgery in octogenarians is debated, but limited data exist for patients aged 65-79. This study compared clinical characteristics, surgical procedures, and outcomes between patients ≥ 80 and those aged 65-79 years to evaluate whether age alone should influence surgical decisions.
methodsWe conducted a retrospective cohort study including all patients aged ≥ 65 who underwent cardiac surgery between January 2019 and December 2022. Patients were divided into two groups: 65-79 years (n = 217) and ≥ 80 years (n = 57). Demographic, clinical, and surgical data were collected and analyzed. EuroSCORE II and STS scores were evaluated as predictors of in-hospital mortality.
resultsAmong 274 patients (median age 74 [IQR 69-79]), the overall in-hospital mortality rate was 11.6%, slightly higher in octogenarians, although the difference was not statistically significant (15.7% vs. 10.5%, p = 0.39). Octogenarians had significantly higher EuroSCORE II values (4.31 vs. 2.81, p < 0.005), longer cardiopulmonary bypass and aortic cross-clamp times, and a higher proportion of non-elective procedures. There were no statistically significant differences between groups in postoperative complications, including acute kidney injury, atrial fibrillation, or cardiogenic shock. EuroSCORE II demonstrated a trend toward better discriminative performance in octogenarians (AUC 0.831; 95% CI: 0.6964-0.9656) compared to patients aged 65-79 years (AUC 0.6432; 95% CI: 0.5825-0.8095), though this did not reach statistical significance (p = 0.06175). The STS score showed moderate and consistent predictive performance across age groups, with AUCs of 0.6981 in the overall cohort, 0.6971 in patients <80 years, and 0.6894 in patients ≥80 years.
conclusionPatients aged ≥80 years exhibited similar in-hospital mortality rates and no increase in postoperative complication rates compared to younger elderly patients. EuroSCORE II appears to outperform the STS score in predicting in-hospital mortality among octogenarians.
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