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Older patients had greater mortality ( less then 65 6.1% vs 65-74 9.0% vs ≥75 14%, P less then .001), stroke (6.3% vs 7.7% vs 11%, P = .01) and STS-COMP (25% vs 32% vs 38%, P less then .001). After multivariable risk-adjustment, a step-wise increase in complications was observed in the older age groups relative to the youngest in terms of in-hospital mortality (65-74 odds ratio [OR] 1.57, P = .04; ≥75 OR, 2.94, P = .001) and STS-COMP (65-74 OR, 1.57, P less then .001; ≥75 OR, 1.96, P less then .001). CONCLUSIONS Older patients experienced elevated rates of