Risk analysis of dialysis-dependent patients who underwent coronary artery bypass grafting

Han Yan Li, Chih Hsiang Chang, Cheng Chia Lee, Victor Chien Chia Wu, Dong Yi Chen, Pao Hsien Chu, Kuo Sheng Liu, Feng Chun Tsai, Pyng Jing Lin, Shao Wei Chen*

*此作品的通信作者

研究成果: 期刊稿件文章同行評審

13 引文 斯高帕斯(Scopus)

摘要

Cardiovascular disease is the major morbidity and leading cause of mortality for dialysis-dependent patients. This study aimed to stratify the risk factors and effects of dialysis modes in relation to coronary artery bypass grafting (CABG) surgery among dialysis-dependent patients. This retrospective study enrolled dialysis-dependent patients who underwent CABG from October 2005 to January 2015. All data of demographics, medical history, surgical details, postoperative complications, and in-hospital mortality were analyzed, and patients were categorized as those with or without in-hospital mortality and those with preoperative hemodialysis (HD) or peritoneal dialysis (PD). Of 134 enrolled patients, 25 (18.7%) had in-hospital mortality. Multivariate analyses identified that older age [odds ratio (OR): 1.110, 95% confidence interval (CI): 1.030-1.197, P=.006], previous stroke history (OR: 5.772, 95% CI: 1.643-20.275, P=.006), PD (OR: 19.607, 95% CI: 3.676-104.589, P<.001), and emergent operation (OR: 8.788, 95% CI: 2.697-28.636, P<.001) were statistically significant risk factors for in-hospital mortality among dialysis-dependent patients with CABG surgery. Patients with PD had a higher in-hospital mortality rate (58.3% vs 14.8%, P<.001) and lower 1-year overall survival (33.3% vs 56.6%, P=.031) than did HD patients. The major in-hospital mortality cause was cardiac events among HD patients and septic shock among PD patients. Among dialysis patients who received CABG, those with older age, previous stroke history, PD, and emergent operation had higher risks. Those with PD were prone to poorer in-hospital outcomes after CABG surgery.

原文英語
文章編號e8146
期刊Medicine (United States)
96
發行號39
DOIs
出版狀態已出版 - 01 09 2017

文獻附註

Publisher Copyright:
Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc.

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