{"doi":"10.1007/bf03217942","title":"Early and mid-term outcomes of cardiac and thoracic aortic surgery in over-75-year-olds with postoperative quality of life assessment","abstract":null,"journal":"The Japanese Journal of Thoracic and Cardiovascular Surgery","year":1999,"id":617471,"datarank":0.7012398128416453,"base_score":2.1972245773362196,"endowment":2.1972245773362196,"self_citation_contribution":0.32958368660043297,"citation_network_contribution":0.3716561262412123,"self_endowment_contribution":0.32958368660043297,"citer_contribution":0.3716561262412123,"corpus_percentile":null,"corpus_rank":null,"citation_count":8,"citer_count":8,"citers_with_citation_signal":5,"citers_with_endowment":5,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1592452,"name":"Yuichi Ueda","orcid":null,"position":1,"is_corresponding":false},{"id":1592453,"name":"Takaaki Sugita","orcid":null,"position":2,"is_corresponding":false},{"id":1569555,"name":"Yutaka Sakakibara","orcid":null,"position":3,"is_corresponding":false},{"id":1592454,"name":"Katsuhiko Matsuyama","orcid":null,"position":4,"is_corresponding":false},{"id":1592455,"name":"Keiji Matsubayashi","orcid":null,"position":5,"is_corresponding":false},{"id":1569556,"name":"Takuya Nomoto","orcid":null,"position":6,"is_corresponding":false},{"id":1577946,"name":"Hitoshi Ogino","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Early and mid-term outcomes of cardiac and thoracic aortic surgery in over-75-year-olds with postoperative quality of life assessment","abstract":"The early and mid-term outcomes of cardiac and thoracic aortic surgery were reviewed in seventy-two consecutive patients aged 75 years and older, together with assessment of postoperative quality of life. Twenty-six patients had ischemic heart disease, twenty had valvular heart disease, one had congenital heart disease, and twenty-five had thoracic aortic aneurysm. Twenty-five (34.7%) required an emergency operation. There were 6 early deaths (8.3%) and 11 late deaths (17.2%), of which the emergency cases had higher mortality of 5 early deaths (20.0%) and 3 late deaths (15.0%). In particular, most cases with a ruptured thoracic aortic aneurysm died eventually from various complications including neurological dysfunction. The others with a non-ruptured aneurysm also had atherosclerotic aortic or arterial lesions which caused a lethal cerebrovascular accident or ischemic heart disease. The quality of life of 51 of 53 survivors was assessed using the Rosser and Watts index being based on disability and distress scores. The response was satisfactory--the disability score was 2.6 +/- 1.9 and the distress score was 1.4 +/- 0.4. The patients with a thoracic aortic aneurysm had worse quality of life scores than those of the ischemic heart disease or valvular heart disease patient-groups because of various perioperative complications. Our experiences demonstrate that the results including the postoperative quality of life following cardiac and aortic surgery in the elderly is satisfactory except for emergency cases. The results would prompt us to operate, if possible, electively in their stable conditions, even on elderly over-75-year-olds.","is_dataset_classified":null,"base_score":2.1972245773362196,"endowment":2.1972245773362196,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"10097473","pmcid":null,"openalex_id":"https://openalex.org/W2087651226","authors":[],"funders":[],"total_grants":0,"fwci":0.3881,"citation_percentile":0.63426234,"influential_citations":0,"citation_trend":[{"year":2014,"count":2}],"oa_status":"closed","license":"http://www.springer.com/tdm","oa_locations":[{"url":"http://link.springer.com/content/pdf/10.1007/BF03217942.pdf","host_type":"publisher"},{"url":"http://link.springer.com/article/10.1007/BF03217942/fulltext.html","host_type":"publisher"},{"url":"http://link.springer.com/content/pdf/10.1007/BF03217942","host_type":"publisher"},{"url":"https://doi.org/10.1007/bf03217942","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/10097473","host_type":"repository"}],"fields_of_study":["Cardiac, Anesthesia and Surgical Outcomes","Hip and Femur Fractures","Cardiac Health and Mental Health","Age Factors","Aged","Aged, 80 and over","Aorta, Thoracic","Cardiac Surgical Procedures","Female","Humans","Male","Postoperative Period","Quality of Life","Treatment Outcome"],"mesh_terms":["Age Factors","Aged","Aged, 80 and over","Aorta, Thoracic","Female","Cardiac Surgical Procedures","Humans","Male","Postoperative Period","Quality of Life","Treatment Outcome"],"keywords":["Cardiac surgery","Medicine","Cardiothoracic surgery","Surgical oncology","Aortic surgery","Quality of life (healthcare)","Term (time)","Vascular surgery","General surgery","Internal medicine","Cardiology","Surgery","Aorta","Nursing"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Zero hunger"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-03T01:48:08.470792Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}