Longevity and admission to nursing home according to age after isolated
coronary artery bypass surgery: A nationwide cohort study
Kristinn Thorsteinsson, Jan Jesper Andreasen, Christian Torp Pedersen, Kirsten Fonager, Rikke Nørmark Mortensen, Kristian Kragholm, Gunnar Gislason, Lars Køber. Aalborg, Denmark
Background: Data on nursing home admission in patients >80 years of age after isolated coronary
artery bypass grafting (CABG) are scarce.
Aim: The purpose of this study was to evaluate longevity and subsequent admission to
nursing home stratified by age in a nationwide CABG cohort.
Methods: All patients who underwent isolated CABG in 1996-2012 in Denmark were identified through nationwide administrative registers and included. The cumulative incidence of admission to a nursing home after CABG was estimated. A cause specific Cox-regression model was constructed to identify predictors for living in a nursing home one year after CABG. Kaplan-Meier estimates were used for survival analysis.
Results: A total of 38,487 patients were included. Median age was 65.4 ± 9.5 years (1,455 >80 years) and 80% were males. The 30-day mortality was 2.8%, increasing with age (1.2% in patients <60 years and 7.6% in patients >80 years). Mortality at 1 year was 2.2% and 13.9% among patients aged <60 and >80 years, respectively. Proportion of patients admitted to a nursing home at 1,5 and 10 years after CABG was 0.1%, 0.2% and 0.9% (<60 years), 1.5%, 7.7% and 17% (>80 years), respectively. Main predictors for living in a nursing home one year after
surgery were: age >80 years (HR 16.70, 95% CI 6.94-40.20), female sex (HR 1.66, 95% CI 1.11- 2.50), heart failure (HR 1.59, 95% CI 1.03-2.40), previous myocardial infarction (HR 2.07, 95% CI 1.33-3.20), previous stroke (HR 2.21, 95% CI 1.42-3.40), stroke < 30 days after surgery ( HR 11.00, 95% CI 6.81-17.80). Neither urgent nor emergent surgeries were significant predictors for
living in a nursery home 1 year after surgery.
Conclusion: Elderly patients undergoing CABG stay in their homes for many years after surgery. The risk of nursing home admission is small and is dependent on the patient’s preoperative co-morbidities.
|Konference||7th Joint Scandinavian Conference in Cardiothoracic Surgery|
|Lokation||Radisson Blu Royal Hotel Bergen Bryggen 5 5003 Bergen|
|Periode||03/09/2015 → 05/09/2015|