Cardiac surgery in the elderly: What goals of care?


  • Alessandra Pratesi University of Florence, Italy.
  • Francesco Orso University of Florence, Italy.
  • Camilla Ghiara University of Florence, Italy.
  • Aldo Lo Forte University of Florence, Italy.
  • Anna Chiara Baroncini University of Florence, Italy.
  • Maria Laura Di Meo University of Florence, Italy.
  • Emanuele Carassi University of Florence, Italy.
  • Samuele Baldasseroni | University of Florence, Italy.


At present, the majority of cardiac surgery interventions have been performed in the elderly with successful short-term mortality and morbidity, however significant difficulties must to be underlined about our capacity to predict long-term outcomes such as disability, worsening quality of life and loss of functional capacity.
The reason probably resides on inability to capture preoperative frailty phenotype with current cardiac surgery risk scores and consequently we are unable to outline the postoperative trajectory of an important patients’ centered outcome such as disability free survival. In this perspective, more than one geriatric statements have stressed the systematic underuse of patient reported outcomes in cardiovascular trials even after taking account of their relevance to older feel and wishes. Thus, in the next future is mandatory for geriatric cardiology community closes this gap of evidences through planning of trials in which patients’ centered outcomes are considered as primary goals of therapies as well as cardiovascular ones.



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Cardiology - Original Articles
Cardiac surgery, elderly, outcomes, frailty, disability.
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How to Cite
Pratesi, Alessandra, Francesco Orso, Camilla Ghiara, Aldo Lo Forte, Anna Chiara Baroncini, Maria Laura Di Meo, Emanuele Carassi, and Samuele Baldasseroni. 2017. “Cardiac Surgery in the Elderly: What Goals of Care?”. Monaldi Archives for Chest Disease 87 (2).

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