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Grishenok A.V.

Bakoulev National Medical Research Center for Cardiovascular Surgery

Buziashvili V.Yu.

Bakoulev National Medical Research Center for Cardiovascular Surgery

Buziashvili Yu.I.

Bakoulev National Medical Research Center for Cardiovascular Surgery

Koksheneva I.V.

Bakoulev National Medical Research Center for Cardiovascular Surgery

Rakhimov A.Z.

Bakoulev National Medical Research Center for Cardiovascular Surgery

Features of preoperative survey in elderly patients undergoing coronary artery bypass surgery

Authors:

Grishenok A.V., Buziashvili V.Yu., Buziashvili Yu.I., Koksheneva I.V., Rakhimov A.Z.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(6): 447‑454

DOI: 10.17116/kardio202114061447

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Table of contents

FEATURES OF PREOPERATIVE SURVEY IN ELDERLY PATIENTS UNDERGOING CORONARY ARTERY BYPASS SURGERY
FEATURES OF PREOPERATIVE SURVEY IN ELDERLY PATIENTS UNDERGOING CORONARY ARTERY BYPASS SURGERY

To cite this article:

Grishenok AV, Buziashvili VYu, Buziashvili YuI, Koksheneva IV, Rakhimov AZ. Features of preoperative survey in elderly patients undergoing coronary artery bypass surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(6):447‑454. (In Russ.)
https://doi.org/10.17116/kardio202114061447

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
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Abstract:

This review is devoted to modern data on comprehensive geriatric assessment in elderly patients with coronary artery disease. The last one is required to choose optimal perioperative management. The authors discuss the main traditional risk scoring systems. Currently, assessment of perioperative risk in elderly patients raises more and more questions every day and requires comprehensive assessment of patients. Most standard risk scoring systems do not often ensure optimal assessment of risks in elderly patients scheduled for cardiac surgery. Therefore, improvement of the existing systems is necessary. Comprehensive geriatric assessment in addition to risk stratification techniques makes it possible to optimize risk analysis prior to elective cardiac surgery.

Keywords:

frailty
comprehensive geriatric assessment
elderly patient
risk stratification
perioperative risk
coronary artery disease
cardiac surgery

Authors:

Grishenok A.V.

Bakoulev National Medical Research Center for Cardiovascular Surgery

Buziashvili V.Yu.

Bakoulev National Medical Research Center for Cardiovascular Surgery

Buziashvili Yu.I.

Bakoulev National Medical Research Center for Cardiovascular Surgery

Koksheneva I.V.

Bakoulev National Medical Research Center for Cardiovascular Surgery

Rakhimov A.Z.

Bakoulev National Medical Research Center for Cardiovascular Surgery

Received:

11.08.2021

Accepted:

10.09.2021

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References:

  1. United Nations, department of economic and social affairs, population division (2019). World population prospects 2019. Online Edition. Rev. 1. Accessed August 05, 2021. https://population.un.org/wpp/Download/Standard/Population
  2. United Nations. Peace, dignity and equality on a healthy planet. Accessed August 05, 2021. https://www.un.org/ru/global-issues/ageing
  3. World health statistics 2020: monitoring health for the SDGs, sustainable development goals. World Health Organization; 2020:1-92. Accessed August 05, 2021. https://apps.who.int/iris/handle/10665/332070
  4. World report on aging and health. World Health Organization; 2016. Accessed August 05, 2021. (In Russ.). https://www.afro.who.int/sites/default/files/2017-06/97892 44565049_rus.pdf
  5. World health statistics 2017: monitoring health for the SDGs, sustainable development goals. World Health Organization (2018). Accessed August 05, 2021. (In Russ.). https://apps.who.int/iris/handle/10665/279717
  6. World health statistics 2019: monitoring health for the SDGs, sustainable development goals. World Health Organization; 2019:1-120. Accessed August 05, 2021. https://www.who.int/publications/i/item/world-health-statistics-2019-monitoring-health-for-the-sdgs-sustainable-development-goals
  7. Tamuleviciute-Prasciene E, Drulyte K, Jurenaite G, Kubilius R, Bjarnason-Wehrens B. Frailty and exercise training: how to provide best care after cardiac surgery or intervention for elder patients with valvular heart disease. BioMed Research International. 2018;9849475:36.  https://doi.org/10.1155/2018/9849475
  8. Sündermann S, Dademasch A, Praetorius J, Kempfert J, Dewey T, Falk V, Mohr FW, Walther T. Comprehensive assessment of frailty for elderly high-risk patients undergoing cardiac surgery. European Journal of Cardio-Thoracic Surgery. 2011;39(1):33-37.  https://doi.org/10.1016/j.ejcts.2010.04.013
  9. Barbarash LS, Shafranskaya KS, Ivanov SV, Moiseenkov GV, Kazachek YaV, Barbarash OL. The modified EuroSCORE scale for assessing the annual prognosis of coronary artery bypass grafting in patients with multifocal atherosclerosis. Patologiya krovoobrashcheniya i kardiokhirurgiya. 2010;2:52-56. (In Russ.).
  10. Sagatov IE. Predicting the probability of postoperative complications in cardiac patients via risk assessment and stratification. Meditsinskij al’manakh. 2015;3(38):79-80. (In Russ.).
  11. Osnabrugge RL, Speir AM, Head SJ, Fonner CE, Fonner E, Kappetein AP, Rich JB. Performance of EuroSCORE II in a large US database: implications for transcatheter aortic valve implantation. European Journal of Cardio-Thoracic Surgery. 2014;46:400-408.  https://doi.org/10.1093/ejcts/ezu033
  12. Ad N, Holmes SD, Patel J, Pritchard G, Shuman DJ, Halpin L. Comparison of EuroSCORE II, original EuroSCORE, and the Society of Thoracic Surgeons risk score in cardiac surgery patients. The Annals of Thoracic Surgery. 2016;102(2):573-579.  https://doi.org/10.1016/j.athoracsur.2016.01.105
  13. Charchyan ER, Gerasimov AN, Skvortsov AA, Khachatryan ZR, Mamedova NM, Isaev RM, Belov YuV. Modified scale for prognosis of surgical risk in aortic arch surgery. Kardiologiya i serdechno-sosudistaya khirurgiya. 2019;12(2):85-94. (In Russ.). https://doi.org/10.17116/kardio20191202185
  14. Dyuk VA, Kurapeev DI. Data mining application for estimation of surgical risk in cardiac surgery. Trudy SPIIRAN. 2009;9:187-196. (In Russ.). https://doi.org/10.15622/sp.9.10
  15. Sündermann SH, Dademaschb A, Seifertc B, et al. Frailty is a predictor of short- and mid-term mortality after elective cardiac surgery independently of age Interactive. CardioVascular and Thoracic Surgery. 2014;18:580-585.  https://doi.org/10.1093/icvts/ivu006
  16. Rogers T, Alraies MC, Pacha MH, et al. Clinical frailty as an outcome predictor after transcatheter aortic valve implantation. The American Journal of Cardiology. 2018;121(7):850-855.  https://doi.org/10.1016/j.amjcard.2017.12.035
  17. Gogbashian A, Sedrakyan A, Treasure T. EuroSCORE: a systematic review of international performance. European Journal of Cardio-Thoracic Surgery. 2004;25:695-700.  https://doi.org/10.1016/j.ejcts.2004.02.022
  18. Nashef SAM, Roques F, Hammill BG, Peterson ED, Michel P, Grover FL, Wys RKH, Ferguson TB. Validation of European system for cardiac operative risk evaluation (EuroSCORE) in North American cardiac surgery. European Journal of Cardio-Thoracic Surgery. 2002;22:101-105.  https://doi.org/10.1016/s1010-7940(02)00208-7
  19. Dewey TM, Brown D, Ryan WH, Herbert MA, Prince SL, Mack MJ. Reliability of risk algorithms in predicting early and late operative outcomes in highrisk patients undergoing aortic valve replacement. The Journal of Thoracic and Cardiovascular Surgery. 2008;135:180-187.  https://doi.org/10.1016/j.jtcvs.2007.09.011
  20. Wendt D, Osswald BR, Kayser K, Thielmann M, Tossios P, Massoudy P, Kamler M, Jakob H. Society of thoracic surgeons score is superior to the EuroSCORE determining mortality in high risk patients undergoing isolated aortic valve replacement. The Annals of Thoracic Surgery. 2009;88:468-474.  https://doi.org/10.1016/j.athoracsur.2009.04.059
  21. Ranjan R, Adhikary D, Mandal S, Saha SK, Hasan K, Adhikary AB. Performance of EuroSCORE II and logistic EuroSCORE in Bangladeshi population undergoing off-pump coronary artery bypass surgery: A prospective cohort study. JRSM Cardiovascular Disease. 2019;8:1-8.  https://doi.org/10.1177/2048004019862125
  22. Sullivan PG, Wallach JD, Ioannidis JPA. Meta-analysis comparing established risk prediction models (EuroSCORE II, STS Score and ACEF Score) for perioperative mortality during cardiac surgery. The American Journal of Cardiology. 2016;118(10):1574-1582. https://doi.org/10.1016/j.amjcard.2016.08.024
  23. Shan L, Ge W, Pu1 Y, Cheng H, Cang Z, Zhang X, Li Q, Xu A, Wang Q, Gu C, Zhang Y. Assessment of three risk evaluation systems for patients aged 70 in East China: performance of SinoSCORE, EuroSCORE II and the STS risk evaluation system. PeerJ. 2018; 6:e4413. https://doi.org/10.7717/peerj.4413
  24. Silva LS, Avancini Caramori PR, Filho AC, et al. Performance of Surgical Risk Scores to Predict Mortality after Transcatheter Aortic Valve Implantation. Arquivos Brasileiros de Cardiologia. 2015;105(3):241-247.  https://doi.org/10.5935/abc.20150084
  25. Dalinin VV, Borisov IA. Predictive significance of “frailty” in cardiac surgery. Kardiologiya i serdechno-sosudistaya khirurgiya. 2018;11(5):82-85. (In Russ.). https://doi.org/10.17116/kardio20181105182
  26. Wang TKM, Choi DHM, Ramanathan T, Ruygrok PN. Comparing performance of risk scores for combined aortic valve replacement and coronary bypass grafting surgery. Heart, Lung and Circulation. 2016;25:1118-1123. https://doi.org/10.1016/j.hlc.2016.03.007
  27. Wang TKM, Harmos S, Gamble GD, Ramanathan T, Ruygrok PN. Performance of contemporary surgical risk scores for mitral valve surgery. Journal of Cardiac Surgery. 2017;32(3):172-176.  https://doi.org/10.1111/jocs.13107
  28. Yamaoka H, Kuwaki K, Inaba H, et al. Comparison of modern risk scores in predicting operative mortality for patients undergoing aortic valve replacement for aortic stenosis. Journal of Cardiology. 2015;68:135-140.  https://doi.org/10.1016/j.jjcc.2015.08.017
  29. Bäck C, Hornum M, Olsen PS, Møller CH. 30-day mortality in frail patients undergoing cardiac surgery: the results of the frailty in cardiac surgery (FICS) Copenhagen study. Scandinavian Cardiovascular Journal. 2019;53:6:348-354.  https://doi.org/10.1080/14017431.2019.1644366
  30. Yanagawa B, Graham MM, Afilalo J, Hassan A, Arora RC. Frailty as a risk predictor in cardiac surgery: beyond the eyeball test. The Journal of Thoracic and Cardiovascular Surgery. 2018;156: 172-176.  https://doi.org/10.1016/j.jtcvs.2018.01.103
  31. Turusheva AV, Frolova EV, Degriz ZhM. Evolution of the frailty concept. Vestnik Severo-Zapadnogo gosudarstvennogo meditsinskogo universiteta im. I.I. Mechnikova. 2017;9(1):117-124. (In Russ.).
  32. Denham MJ. Dr Marjory Warren CBE MRCS LRCP (1897-1960): the mother of British geriatric medicine. Journal of Medical Biography. 2011;19(3):105-110.  https://doi.org/10.1258/jmb.2010.010030
  33. Tkacheva ON, Kotovskaya YuV, Runikhina NK, et al. Clinical guidelines on frailty. Russian Journal of Geriatric Medicine. 2020;1: 11-46. (In Russ.). https://doi.org/10.37586/2686-8636-1-2020-11-46
  34. Gurina NA, Frolova EV, Degryse JM. A roadmap of aging in Russia: the prevalence of frailty in community-dwelling older adults in the St. Petersburg district — the “Crystal” study. Journal of the American Geriatrics Society. 2011;59(6):980-988.  https://doi.org/10.1111/j.1532-5415.2011.03448.x
  35. Tkacheva ON, Runikhina NK, Kotovskaya YuV, Ostapenko VS, Sharashkina NV. Senile asthenia: what must the primary care physician know about it? Russkij meditsinskij zhurnal. 2017;25:1820-1822. (In Russ.).
  36. Fried LP, et al. Frailty in older adults: evidence for a phenotype. The Journals of Gerontology: Series A. 2001;56(3):146-157.  https://doi.org/10.1093/gerona/56.3.M146
  37. Tkacheva ON. Validation of the questionnaire for screening of frailty. Uspekhi gerontologii. 2017;30(2):236-242. (In Russ.).
  38. Whitney K, Azad N, Power B. Perioperative cardiac risk assessment for the frail older adult. Canadian Journal of Cardiology. 2018; 34(3):343.e11.  https://doi.org/10.1016/j.cjca.2017.12.002
  39. Lee DH, Buth KJ, Martin B-J, Yip AM, Hirsch GM. Frail patients are at increased risk for mortality and prolonged institutional care after cardiac surgery. Circulation. 2010;121:973-978.  https://doi.org/10.1161/CIRCULATIONAHA.108.841437
  40. Afilalo J, Mottillo S, Eisenberg MJ, Alexander KP, Noiseux N, Perrault LP. Addition of frailty and disability to cardiac surgery risk scores identifies elderly patients at high risk of mortality or major morbidity. Circulation: Cardiovascular Quality and Outcomes. 2012;5:222-228.  https://doi.org/10.1161/CIRCOUTCOMES.111.963157
  41. Afilalo J, Eisenberg MJ, Morin JF, Bergman H, Monette J, Noiseux N. Gait speed as an incremental predictor of mortality and major morbidity in elderly patients undergoing cardiac surgery. Journal of the American College of Cardiology. 2010;56:1668-1676. https://doi.org/10.1016/j.jacc.2010.06.039
  42. Zhong X, Lu Y, Gao Q, et al. Estimating biological age in the Singapore longitudinal aging study. The Journals of Gerontology: Medical Sciences. 2020;75(10):1913-1920. https://doi.org/10.1093/gerona/glz146
  43. Afilalo J, Lauck S, Kim DH, et al. Frailty in older adults undergoing aortic valve replacement. The FRAILTY-AVR Study. Journal of the American College of Cardiology. 2017;70(6):689-700.  https://doi.org/10.1016/j.jacc.2017.06.024
  44. Schoenenberger AW, Moser A, Bertschi D, Wenaweser P, Windecker S, Carrel T, Stuck AE, Stortecky S. Improvement of risk prediction after transcatheter aortic valve replacement by combining frailty with conventional risk scores. JACC: Cardiovascular interventions. 2018;11(4):395-403.  https://doi.org/10.1016/j.jcin.2017.11.012
  45. Arthur HM, Daniels C, McKelvie R, Hirsh J, Rush B. Effect of a preoperative intervention on preoperative and postoperative outcomes in low-risk patients awaiting elective coronary artery bypass graft surgery. A randomized, controlled trial. Annals of Internal Medicine. 2000;133:253-262.  https://doi.org/10.7326/0003-4819-133-4-200008150-00007
  46. Sawatzky J-AV, Kehler DS, Ready AE, Lerner N, Boreskie S, Lamont D. Prehabilitation program for elective coronary artery bypass graft surgery patients: a pilot randomized controlled study. Clinical Rehabilitation. 2014;28:648-657.  https://doi.org/10.1177/0269215513516475
  47. Graham A, Brown CH. Frailty, aging, and cardiovascular surgery. Anesthesia & Analgesia. 2017;124(4):1053-1060. https://doi.org/10.1213/ANE.0000000000001560
  48. Fried TR, Bradley EH, Towle VR, Allore H. Understanding the treatment preferences of seriously ill patients. The New England Journal of Medicine. 2002;346(14):1061-1066. https://doi.org/10.1056/NEJMsa012528
  49. Vetta F, Locorotondo G, Vetta G, Mignano M, Bracchitta S. Prognostic impact of frailty in elderly cardiac surgery patients. Monaldi Archives for Chest Disease. 2017;87(855):21-23.  https://doi.org/10.4081/monaldi.2017.855
  50. Esion GA, Lishchuk AN, Koltunov AN, Karpenko IG, Ivanov DV. A new methodological approach for the management of elderly patients with aortic valve disease. Vestnik novykh meditsinskikh tekhnologij. Elektronnoe izdanie. 2018;5:3-11. (In Russ.). https://doi.org/10.24411/2075-4094-2018-16268
  51. Pratesi A, Orso F, Ghiara C, Forte AL, Baroncini AC, Meo ML, Carassi E, Baldasseroni S. Cardiac surgery in the elderly: what goals of care? Monaldi Archives for Chest Disease. 2017;18(852):12-15.  https://doi.org/10.4081/monaldi.2017.852
  52. Barac YD, Josefson EK, Saute M, Gorphil D, Rubchevsky V, Aravot D. Comprehensive assessment of frailty score as a tool to assess potential recovery in cardiac surgery. The Journal of Thoracic and Cardiovascular Surgery. 2019;158(2):43-44.  https://doi.org/10.1016/j.jtcvs.2019.02.118
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