Coronary artery bypass grafting in patients with dialysis-dependent end stage renal disease: a prospective, nested case-control study

Journal of Cardiac Surgery
Kevin L PowellLoren F Hiratzka

Abstract

To assess if coronary artery bypass grafting (CABG) patients with dialysis-dependent end stage renal disease (ESRD) experience greater intraoperative and postoperative morbidity and mortality compared to CABG patients without ESRD. We conducted a nested case-control study from an 8-year hospitalization cohort in which data were collected prospectively. Inclusion criteria included CABG surgery and age greater than 18 years. Cases were patients with dialysis dependent ESRD (N = 28) and controls were patients without ESRD (N = 84). Cases were matched to controls 1:3 on age, gender, tobacco history, and New York Heart Association Functional Class. The outcomes of interest were mortality, intensive care unit length of stay, total length of hospitalization, time on the ventilator, wound complications, pulmonary complications, neurological complications, gastrointestinal complications, arrhythmia, and intraoperative complications. Using logistic regression we controlled for 13 potential confounding variables. There were no significant differences between the groups with the exception of total length of hospitalization. Patients with dialysis-dependent ESRD had a significantly longer total hospitalization stay (21%) than patients witho...Continue Reading

References

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Citations

Oct 4, 2005·Zeitschrift für Kardiologie·S M TugtekinK Matschke
Sep 24, 2013·Interactive Cardiovascular and Thoracic Surgery·Hunaid A VohraClifford W Barlow
Dec 6, 2016·ASEAN Heart Journal : Official Journal of the ASEAN Federation of Cardiology·Koh Choong HouJack Tan Wei Chieh
Oct 17, 2017·Annals of Vascular Diseases·Daijiro HoriHideo Adachi

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