BACKGROUND: The octogenarian @entity1 is often perceived as too fragile to undergo cardiothoracic surgery. Our study aimed to compare @entity260 in @entity1 aged less than 80 versus elderly @entity1 (80 years or more) after surgical cardiac intervention (coronary artery bypass or valve replacement). METHODS: Subjects were all @entity1 (n = 8,361) who had an open-heart procedure, either coronary artery bypass or valve implantation or replacement, at two medical centers located in northern Virginia using the same surgical group. A computerized medical record database was reviewed to determine preoperative risk factors and postoperative outcomes. Predictors of complications were identified by univariate and multivariate logistic regression. RESULTS: A total of 3,214 complications were recorded. The most prevalent complications were prolonged ventilation time in the intensive care unit, reoperation for @entity548 , and @entity55 . The overall mortality rate was 2.4% (204 of 8,361). @entity1 aged over 80 years had nearly double the mortality rate compared with younger @entity1 (4.1% [18 of 444] to 2.3% [186 of 7,917]). Age greater than 80 years (odds ratio = 2.65, 95% confidence interval = 2.18 to 3.22) and male gender (odds ratio = 0.62, 95% confidence interval = 0.56 to 0.69) were the best univariate predictors of a single @entity260 . CONCLUSIONS: Octogenarian @entity1 manifested twice the risk of @entity204 from a cardiac intervention with an average 2-day longer hospital stay compared with their younger counterparts. Furthermore, octogenarians were at markedly higher risk of nonfatal @entity260 .

XXXX among octogenarians after cardiovascular surgery.

@entity1 :: ('9606', 'Species') :: ['Persons', 'patients', 'patient'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications', 'postoperative complication'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity260 :: (MESH:D011183,Disease) :: ['Postoperative complications']
