Abstract
Purpose
Mechanical valve replacement is associated with complications, however, there is little information on the quality of life (QOL) of octogenarians who had undergone mechanical valve replacement at a relatively younger age. We examined survival, valve-related events, and the QOL of octogenarians who had undergone mechanical valve replacement.
Methods
A total of 56 octogenarians who underwent mechanical valve replacement between 1969 and 1997 (age at the time of surgery, 65.6 ± 6.7 years), completed a questionnaire on survival, valve-related events, and QOL (basic activities of daily living, instrumental activities of daily living, mental health).
Results
The mean follow-up was 12.4 ± 6.6 years, and the cumulative follow-up period was 642.4 patient-years. Six valve-related deaths (0.9%/patient-year) were registered during the follow-up. Furthermore, 11 valverelated events (1.8%/patient-year) were recorded. The mean age of the 21 survivors was 82.9 ± 1.8 years, and 19 of the survivors lived at home. Their QOL was excellent.
Conclusion
The valve-related deaths and events in octogenarians who had previously undergone mechanical valve replacement at a younger age were within acceptable limits. The QOL was similar to that of octogenarians described in previous studies.
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References
Bonow RO, Carabello BA, Chatterjee K, Leon AC Jr, Faxon DP, Freed MD, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease. J Am Coll Cardiol 2006;48:e1–148.
Edmunds LH Jr, Clark RE, Cohn LH, Grunkemeier GL, Miller DC, Weisel RD. Guidelines for reporting morbidity and mortality after cardiac valvular operations. J Thorac Cardiovasc Surg 1996;112:708–711.
Khan SS, Trento A, DeRobertis M, Kass RM, Sandhu M, Czer LS, et al. Twenty-year comparison of tissue and mechanical valve replacement. J Thorac Cardiovasc Surg 2001;122: 257–269.
De Vincentiis C, Kunkl AB, Trimarchi S, Gagliardotto P, Frigiola A, Menicanti L, et al. Aortic valve replacement in octogenarians: is biologic valve the unique solution? Ann Thorac Surg 2008;85:1296–1302.
Ware JE, Snow KK, Kosinski M, Gandek B. SF-36 health survey manual and interpretation guide. Boston: The Health Assessment Lab, Quality Metric Institute; 1993.
Mahoney FI, Barthel DW. Function evaluation: the Barthel Index. Md St Med J 1965;14:61–65.
Thommessen B, Holter EB, Laake K. Predictors of outcome of rehabilitation of elderly stroke patients in a geriatric ward. Clin Rehabil 1999;13:123–128.
Lawton MP, Brody EM. Assessment of older people: selfmaintaining and instrumental activities of daily living. Gerontologist 1969;9:179–185.
Fillenbaum GC. Screening the elderly: a brief instrumental activities of daily living measure. J Am Geriatr Soc 1985;33:698–706.
Rockwood K, Stadnyk K, MacKnight C, McDowell L, Hebert R, Hogan DB. A brief clinical instrument to classify frailty in elderly people. Lancet 1999;353:205–206.
Toba K, Nakai R, Akishita M, Iijina S, Nishinaga M, Mizoguchi T, et al. Vitality Index as a useful tool to assess elderly with dementia. Geriatr Gerontol Int 2002;2:23–29.
Chisaka H, Saeki S, Tutui Y, Hachisuka K, Negayama S. Standard values of activities of daily living scores in randomly selected elderly persons. Jpn J Rehabil Med 2000;37:523–528.
Kirino M, Yajima Y, Nitta O, Nakajima K. Cross-validation of the Barthel Index among institutional elderly. Tokyo Acad Health Sci 2003;5:230–237.
Chaturvedi RK, Blaise M, Verdon J, Iqbal S, Ergina P, Cecere R, et al. Cardiac surgery in octogenarians: long-term survival, functional status, living arrangements, and leisure activities. Ann Thorac Surg 2010;89:805–810.
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Hashimoto, W., Tanigawa, K., Hashizume, K. et al. Survival and quality of life of octogenarians who underwent mechanical valve replacement at a younger age. Gen Thorac Cardiovasc Surg 60, 213–216 (2012). https://doi.org/10.1007/s11748-011-0866-1
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DOI: https://doi.org/10.1007/s11748-011-0866-1