Cardiac Surgery in Select Nonagenarians: Should We or Shouldn’t We?

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Cardiac Surgery in Select Nonagenarians: Should We or Shouldn’t We? Brant W. Ullery, BA, Janey C. Peterson, EdD, MS, Federico Milla, MD, Martin T. Wells, PhD, William Briggs, PhD, Leonard N. Girardi, MD, Wilson Ko, MD, Anthony J. Tortolani, MD, O. Wayne Isom, MD, Karl H. Krieger, MD The Annals of Thoracic Surgery Volume 85, Issue 3, Pages 854-860 (March 2008) DOI: 10.1016/j.athoracsur.2007.10.074 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Survival curve (solid line) using Kaplan-Meier estimates for 49 nonagenarians who underwent cardiac surgical procedures. The dashed lines are the 95% confidence intervals. The Annals of Thoracic Surgery 2008 85, 854-860DOI: (10.1016/j.athoracsur.2007.10.074) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Quality of life for nonagenarians (black bars) compared with patients aged 75 years and older (gray bars) and those with heart disease (clear bars) rated by the Medical Outcomes Study Short Form 12 (SF-12) Health Survey. * The nonagenarian cohort scored significantly higher in the general health domain compared with heart disease patients (p = 0.01). a Mean SF-12 scores for a sample of about 850 individuals in the general population 75 years of age or older [19]. bMean SF-12 scores for a sample of about 650 individuals in the general population with heart disease (mean age, 65.6 years; female, 50.8%) [19]. The Annals of Thoracic Surgery 2008 85, 854-860DOI: (10.1016/j.athoracsur.2007.10.074) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions