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Coronary artery bypass graft surgery in the elderly patients

100%

Oktar G. , Imren V. , Erer D. , Iriz E. , Gokgoz L. , Soncul H.

Open Medicine

2009

tom 4

nr 2

218-221

The purpose of this retrospective study was to determine the results of coronary artery surgery in the elderly patients and to compare the outcome with a younger group. Two hundred thirteen patients aged 70 years and older who underwent on-pump coronary artery surgery were retrospectively studied and data were compared with those of 524 patients aged 50–69. The groups were similar with respect to preoperative characteristics except for sex distribution and the incidences of peripheral vascular disease and prior cerebrovascular accident. The use of internal mammarian artery grafts was significantly lower in the elderly patients (80.3% versus 91.6%, p<0.001). The 30-day mortality for the elderly group was 4.7% while that of younger group was 2.3%. The elderly patients had a significantly higher incidence of postoperative low cardiac output, pulmonary complications and acute renal failure. The elderly group also had also significantly longer intensive care unit length of stay (1.9 versus 1.7 days, p=0.006) and postoperative length of stay (10.1 versus 7.4 days, p<0.001). Although mortality and complication rates are higher, coronary artery surgery can be performed with acceptable risk in the elderly patients. Old age alone should not be a deterrent factor for surgical revascularization in coronary artery disease.

The correlation between death anxiety and anxiety in elderly with chronic obstructive pulmonary disease

75%

Nal B. , Aydın Avcı I. , Ayyildiz M.

Progress in Health Sciences

2016

tom 6(1)

63-69

Purpose: This study aims to determine the correlation between death anxiety and anxiety in elderly patients with chronic obstructive pulmonary disease. Materials and methods: This study has been conducted on the individuals with chronic obstructive pulmonary disease (COPD) who were over 65 years. They received outpatient and inpatient treatment at a hospital. 171 elderly persons that were determined via power analysis were included in the research. Data was collected using a survey form, Death Anxiety Scale, State Anxiety Scale, and Trait anxiety scale. We used the following test statistics: t-test, ANOVA and Kruskal-Wallis Variance Analysis, and Pearson Correlation Test analysis. Results: 66.1 percent (113) of the participants are male and 33.9%(58) female; mean age is 726.83. The mean death anxiety score of the participants is 9.044.02. The mean State Anxiety score of elderly individuals with chronic obstructive pulmonary disease is 44.81.29; the trait anxiety mean score is 48.851.13. In those chronic obstructive pulmonary disease patients, we found a significant (p<0.001) correlation between state and trait anxiety, and that the latter two are high in cases where death anxiety is high. Conclusion: We found that death anxiety and anxiety are high in patients with COPD.