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  1. Article: [Cardiovascular Surgery in Nonagenarian].

    Nakata, Kosuke / Moriyama, Shuji / Hirota, Takafumi / Fukui, Toshihiro

    Kyobu geka. The Japanese journal of thoracic surgery

    2023  Volume 76, Issue 12, Page(s) 1005–1009

    Abstract: Objective: The number of nonagenarians who are eligible for surgery is increasing in Japan with the increase of the elderly population and the improvement of outcomes of cardiovascular surgery.: Methods: Six nonagenarians underwent cardiovascular ... ...

    Abstract Objective: The number of nonagenarians who are eligible for surgery is increasing in Japan with the increase of the elderly population and the improvement of outcomes of cardiovascular surgery.
    Methods: Six nonagenarians underwent cardiovascular surgery from January 2014 to December 2022. Frailty, activity of daily living, and postoperative survival were examined.
    Results: The mean age was 90.8 (90-92) years old. Seven operations (2 coronary artery bypass, 3 cardiac valve surgery, and 2 ascending aorta replacement) were performed in 6 patients( 2 males and 4 females). Four of them were emergent or urgent surgery. The mean hospital stay was 39.0 days, without postoperative 30-day or in-hospital deaths. However, two patients died of aspiration pneumonia and cancer. Although early postoperative activities of daily living( ADL) was declined, ADL was improved to the same level as preoperative status, one year after operation. The mean postoperative observation period was 988.3 days, and the longest postoperative survival was 2,676 days.
    Conclusion: Nonagenarians may have acceptable outcomes with cardiovascular surgery by evaluating not only age but also ADL and frailty.
    MeSH term(s) Male ; Aged, 80 and over ; Female ; Humans ; Aged ; Nonagenarians ; Frailty ; Activities of Daily Living ; Treatment Outcome ; Cardiac Surgical Procedures ; Postoperative Complications ; Retrospective Studies ; Risk Factors
    Language Japanese
    Publishing date 2023-12-06
    Publishing country Japan
    Document type English Abstract ; Journal Article
    ZDB-ID 603899-2
    ISSN 0021-5252
    ISSN 0021-5252
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Factors Affecting Recovery of 6-Minute Walk Distance After Coronary Artery Bypass Grafting.

    Araki, Naoya / Hirota, Takafumi / Hidaka, Hideaki / Horibe, Tatsuya / Numaguchi, Ryosuke / Takaki, Jun / Nishigawa, Kosaku / Yoshinaga, Takashi / Fukui, Toshihiro

    Circulation reports

    2023  Volume 5, Issue 8, Page(s) 317–322

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2023-07-11
    Publishing country Japan
    Document type Journal Article
    ISSN 2434-0790
    ISSN (online) 2434-0790
    DOI 10.1253/circrep.CR-23-0060
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Population-Based Study of the Incidence and Mortality Rate of Acute Aortic Dissection.

    Moriyama, Shuji / Hara, Masahiko / Hirota, Takafumi / Nakata, Kosuke / Doi, Hideki / Matsumura, Toshiyuki / Araki, Yushi / Inomata, Yukihiro / Fukui, Toshihiro

    Circulation journal : official journal of the Japanese Circulation Society

    2023  Volume 88, Issue 3, Page(s) 297–306

    Abstract: Background: Acute aortic dissection (AAD) has high morbidity and a high fatality rate for a cardiovascular disease. Recent studies suggested that the incidence of AAD is increasing. However, the actual incidence and mortality rates of AAD are not well ... ...

    Abstract Background: Acute aortic dissection (AAD) has high morbidity and a high fatality rate for a cardiovascular disease. Recent studies suggested that the incidence of AAD is increasing. However, the actual incidence and mortality rates of AAD are not well known. This study investigated the current epidemiology of AAD within the Yatsushiro medical jurisdictional area.Methods and Results: A population-based review of patients with AAD was performed in a geographically well-defined area. Data were collected retrospectively from January 2011 to December 2020 for a total of 196 patients with AAD (Stanford Type A, n=126 [64.3%]; Stanford Type B, n=70 [35.7%]). The mean patient age was 74.3 years, and 55.6% (109/196) were women. The crude and age-standardized incidence rates of AAD in our medical jurisdictional area were 13.6 and 11.4 per 100,000 inhabitants per year, respectively. The crude and age-standardized 30-day mortality rates of AAD were 4.9 and 4.0 per 100,000 inhabitants per year, respectively. There were upward tendencies for both the incidence and 30-day mortality rate of AAD with age, with both being significantly higher in patients aged ≥85 years (P<0.001).
    Conclusions: This population-based study detected a higher incidence of AAD than previous studies, but reported a lower incidence of AAD in men than in women. Increasing age was associated with an increased incidence and mortality rate of AAD.
    MeSH term(s) Male ; Humans ; Female ; Aged, 80 and over ; Aged ; Incidence ; Retrospective Studies ; Aortic Dissection/epidemiology ; Acute Disease ; Risk Factors
    Language English
    Publishing date 2023-09-07
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2068090-9
    ISSN 1347-4820 ; 1346-9843
    ISSN (online) 1347-4820
    ISSN 1346-9843
    DOI 10.1253/circj.CJ-23-0076
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ui IV Zs.74: Show issues Location:
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