TY - JOUR
AU - Nishimura, Motonobu
AB - PurposeThe purpose of this study was to investigate the impact of frailty on the clinical outcomes of hybrid aortic arch repair with debranching of the supra-aortic arteries.MethodsConsecutive patients ≥ 75 years old who underwent hybrid aortic arch repair from January 2010 to December 2019 were retrospectively analyzed. Using the Canadian Study of Health and Aging (CSHA) scale, all patients with a CSHA scale score > 4 were defined as frail. The frail patients (FP) group and the non-frail patients (NFP) group were compared regarding the early and mid-term outcomes of hybrid aortic arch repair.ResultsA total of 84 patients were included. The early postoperative results were not markedly different between the groups, except that the rate of transfer to a rehabilitation hospital was higher in the FP group than in the NFP group. The survival at 5 years was significantly lower in the FP group at 43.0% than in the NFP group at 67.7% (P = 0.015). However, the freedom from aorta-related death was not significantly different between the two groups.ConclusionFrailty did not affect the short-term outcomes of hybrid aortic arch repair; however, the mid-term outcomes, including the survival, of the frail patients were significantly worse than those of the non-frail patients, mostly because of non-aorta-related causes.
TI - Impact of frailty on early and mid-term outcomes of hybrid aortic arch repair
JF - Surgery Today
DO - 10.1007/s00595-021-02443-x
DA - 2022-08-01
UR - https://www.deepdyve.com/lp/springer-journals/impact-of-frailty-on-early-and-mid-term-outcomes-of-hybrid-aortic-arch-djyVQHbDMD
SP - 1194
EP - 1201
VL - 52
IS - 8
DP - DeepDyve
ER -