masterThesis
Riesgo asociado a la cirugía cardíaca mayor en pacientes octogenarios : una revisión sistemática de la literatura.
Fecha
2012Autor
Pomares Estrada, Jose Carlos
Montes, Félix
Morón Duarte, Lina Sofía
Institución
Resumen
Introduction: Cardiovascular diseases are the most common cause of death in the elderly. Documented reduced efficacy of medical therapy in these patients has led to an increase in the number of heart operations in elderly patients. The aim of this study was to conduct a systematic review to determine the true safety of performing cardiac surgery in these patients. Methods: Systematic review of the literature of articles obtained from primary databases, systematic reviews and meta search engines that provided evidence of safety and effectiveness of cardiac surgery in octogenarians. Methodological quality was assessed by recording characteristics and results of the studies obtained. Results: Six studies were found comparable, published by Alexander et al. (2000), Bakaeen et al.(2010), Rahmanian et al. (2010), Afilalo et al. (2012), Sahaian et al. (2012) and Speziale et al (2011). The correlation model results were significant and applicable only for comparison in the first three listed here. The group of octogenarian patients exhibited an increased risk of mortality compared with younger groups, when they undergo major heart surgeries such as CABG, AVR and MVR.
Discussion: The clinical inference dictates that older patients have a significantly higher risk of dying as a result of surgical stress and complications associated with surgery, is supported by medical evidence in accordance with the revised in all cases, shows a increased mortality risk.
Conclusions: The submission of octogenarian patients with major cardiac surgery is a decision that requires careful clinical judgment in which it is important to note that the probability of an outcome unfavorable to high. Designed studies are needed that increase the strength of the current evidence regarding the risk found here.