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Valerio Annessi
Massimiliano Paci
Tommaso Ricchetti
Guglielmo Ferrari
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ORIGINAL ARTICLE

Is Age Over 70 Years a Risk Factor for Pneumonectomy?

Valerio Annessi, MD, Massimiliano Paci, MD, Tommaso Ricchetti, MD, Guglielmo Ferrari, MD, Debora Formisano, MS1, Giorgio Sgarbi, MD

Division of Thoracic Surgery Cardiothoracic & Vascular Department
1 Epidemiology and Biostatistics Department Santa Maria Nuova Hospital Reggio Emilia, Italy

Valerio Annessi, MD Tel: +39 0522 296929 Fax: +39 0522 296266 Email: joanna{at}ppukm.ukm.my, Operative Unit of Thoracic Surgery, Cardiothoracic & Vascular Department, Santa Maria Nuova Hospital, Viale Risorgimento 80, 42100, Reggio Emilia, Italy.

ABSTRACT

The lengthening of life expectancy has led to more surgical procedures in elderly patients. The aim of this work was to determine whether age >70 years is a risk factor for pneumonectomy. All cases of pneumonectomy from January 1999 to December 2006 were retrospectively reviewed. The 40 patients aged >70 years were compared with a group of 70 patients aged 40–68 years matched for sex, physical status, respiratory function, side of pneumonectomy, and pathologic stage. Postoperatively, significantly more older patients had atrial fibrillation (24% vs. 5.6%). There was a low incidence of respiratory complications in both groups, and reduced respiratory function did not increase respiratory morbidity. Thirty-day mortality was not significantly different (2.5% in older vs. 1.4% in younger patients), but long-term mortality rates evaluated at December 31, 2007 were 50% for those aged <70 years (35 patients) and 72.5% for the older group. Although age is a risk factor for morbidity and mortality in pneumonectomy, the risk is acceptable.

Key Words: Age Factors • Carcinoma • Non-Small-Cell Lung • Pneumonectomy • Risk Factors • Treatment Outcome

Asian Cardiovasc Thorac Ann 2009; 17:272-277
© 2009 by SAGE Publications
DOI: 10.1177/0218492309104772




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