12 July 2016

Derivation and validation of prognosis-based age cutoffs to define elderly in cardiac surgery

Derivation and Validation of Prognosis-Based Age Cutoffs to Define Elderly in Cardiac Surgery
Afilalo J et al
Circ Cardiovasc Qual Outcomes. 2016 Jul;9(4):424-31
  • The relationship between age and 30 day operative mortality is not linear, manifesting a steeper rise after age 75 for coronary bypass and approaching 80 for isolated valve surgery. Rather than using arbitrary age cutoffs to define elderly, the outcomes-based cutoff of ≥75 years should be used to identify the population of older adults that has higher risk and may benefit from preoperative geriatric evaluation and optimization.
  • Study: Cohort analysis 6521 consecutive adult patients undergoing cardiac surgery at 3 hospitals in the United States and Canada.