Long-term prognosis in patients with end-stage renal disease after coronary artery bypass grafting
| Autor: | Yeow Leng Chua, Christopher K.J. Teow, Teing Ee Tan, Madhava J. Naik, Victor T.T. Chao, See Lim Lim, Yoong Kong Sin, Ming Jie Huang, Philip Y.K. Pang |
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| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Ejection fraction Proportional hazards model business.industry Hazard ratio Odds ratio 030204 cardiovascular system & hematology medicine.disease Confidence interval End stage renal disease Coronary artery disease 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030228 respiratory system Internal medicine medicine Cardiology Original Article business Artery |
| Zdroj: | J Thorac Dis |
| ISSN: | 2072-1439 |
| Popis: | BACKGROUND: Cardiovascular disease is a major cause of morbidity and mortality in patients with end-stage renal disease (ESRD). Coronary artery bypass grafting (CABG) is beneficial in selected patients with ESRD. This study investigates the survival outcomes and prognostic factors in ESRD patients who underwent CABG. METHODS: A retrospective analysis was performed for 149 patients with ESRD who underwent isolated CABG between 2006 and 2015. RESULTS: Mean age was 59.4±8.7 years and 106 patients (71.1%) were male. Operative mortality occurred in 20 patients (13.4%). Overall survival was 81.1%±3.2% at 1 year, 41.5%±4.3% at 5 years and 19.2%±4.2% at 10 years. Median survival was 4.3 years. Multivariable analysis identified age [P=0.001, odds ratio (OR): 1.15 per 1-year increase, 95% confidence interval (CI): 1.06–1.25], preoperative left ventricular ejection fraction (LVEF) (P=0.020, OR: 0.94, 95% CI: 0.89–0.99) and non-elective status of operation (P=0.049, OR: 3.34, 95% CI: 1.00–11.1) as predictors of operative mortality. Cox regression analysis identified age [P |
| Databáze: | OpenAIRE |
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