Risk Evaluation and Midterm Outcome of Cardiac Surgery in Patients on Dialysis
| Autor: | Shigeki Morita, Munetaka Masuda, Ryuji Tominaga, Takahiro Nishida, Noriko Boku, Masataka Eto |
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| Rok vydání: | 2007 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty medicine.medical_treatment Comorbidity 030204 cardiovascular system & hematology Risk Assessment 03 medical and health sciences 0302 clinical medicine Valve replacement Renal Dialysis medicine Humans Elective surgery Emergency Treatment Survival rate health care economics and organizations Dialysis Aged Retrospective Studies business.industry Cardiovascular Surgical Procedures Mortality rate Retrospective cohort study General Medicine Middle Aged medicine.disease Survival Analysis Surgery Cardiac surgery Treatment Outcome 030228 respiratory system Cardiovascular Diseases Elective Surgical Procedures Kidney Failure Chronic Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Asian Cardiovascular and Thoracic Annals. 15:19-23 |
| ISSN: | 1816-5370 0218-4923 |
| DOI: | 10.1177/021849230701500105 |
| Popis: | The medical charts of 54 patients on maintenance dialysis who underwent cardiovascular surgery (37 elective and 17 urgent/emergency) from 1994 to 2004 were retrospectively analyzed. Thirty patients had coronary artery bypass grafting (17 elective and 13 urgent/emergency), 18 had valve replacement (16 elective and 2 urgent/emergency), and 6 underwent aortic surgery (4 elective and 2 urgent/emergency). The overall early mortality rate was 11.1%, comprising 2 patients (5.4%) who had elective operations and 4 (23.5%) who had urgent or emergency operations ( p = 0.049). The overall 5-year survival rate was 48.4%. The 5-year survival rate was 67.2% for elective surgery and 10.5% for urgent/emergency surgery ( p = 0.0001). The midterm clinical results after elective cardiovascular surgery were acceptable, whereas the results after urgent/emergency surgery were poor. For elective surgery, sufficient and detailed preoperative examinations might have contributed to the better operative outcome. Early diagnosis and consultation to avoid urgent/emergency operations in dialysis patients is recommended. |
| Databáze: | OpenAIRE |
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