Zur Kurzanzeige

dc.creatorDeutsch, O.en
dc.creatorSpiliopoulos, K.en
dc.creatorKiask, T.en
dc.creatorKatsari, E.en
dc.creatorRippinger, N.en
dc.creatorEichinger, W.en
dc.creatorGansera, B.en
dc.date.accessioned2015-11-23T10:25:23Z
dc.date.available2015-11-23T10:25:23Z
dc.date.issued2013
dc.identifier10.1055/s-0032-1331841
dc.identifier.issn0171-6425
dc.identifier.urihttp://hdl.handle.net/11615/27011
dc.description.abstractBackground This study evaluates the impact of gender in dialysis-dependent patients undergoing cardiac surgery. Methods We retrospectively identified 204 dialysis-dependent patients (68.6% male, aged 66.6 +/- 9.9 years) with end-stage renal disease undergoing cardiac surgery and compared them to a propensity-score-pair-matched control collective. Results A 30-day mortality was 13.2% (14/106) for coronary artery bypass grafting (CABG), 19.3% (6/31) for aortic valve replacement (AVR), and 23.8% (16/67) for combined procedures. Postoperative chest tube output was significantly higher in men (1,007 +/- 946 mL) versus women (687 +/- 598 mL, p = 0.014). Compared with a propensity-score-pair-matched control collective of 204 patients, we identified significant differences in terms of 30-day mortality: overall mortality revealed 17.6 versus 4.6% (p = 0.0001), 13.2 versus 3.4% (p = 0.014) for CABG, 19.3 versus 0% (p = 0.051) for AVR, and 23.8 versus 9.1% (p = 0.02) for combined procedures. Conclusion Multivariate analysis identified preoperative myocardial infarction, prolonged extracorporeal circulation time, operation time, and surgical reexploration as independent predictors of 30-day mortality. There was a higher occurrence of bleeding complications in men that remained significant even after correction for body surface area.en
dc.source.uri<Go to ISI>://WOS:000314182100005
dc.subjectcardiacen
dc.subjectkidney (includes related subject matter)en
dc.subjectcoronary arteryen
dc.subjectbypass grafting (CABG) surgeryen
dc.subjectheart valve stenosisen
dc.subjectARTERY-BYPASS-SURGERYen
dc.subjectINCREASE OPERATIVE RISKen
dc.subjectIN-HOSPITAL MORTALITYen
dc.subjectSTAGE RENAL-FAILUREen
dc.subjectLONG-TERM SURVIVALen
dc.subjectCHRONIC-HEMODIALYSISen
dc.subjectCORONARYen
dc.subjectSURGERYen
dc.subjectGRAFT-SURGERYen
dc.subjectWOMENen
dc.subjectDISEASEen
dc.subjectCardiac & Cardiovascular Systemsen
dc.subjectRespiratory Systemen
dc.subjectSurgeryen
dc.titleCardiac Surgery in Dialysis-Dependent Patients: Impact of Gender on Early Outcome in Single-Center Experience with 204 Consecutive Casesen
dc.typejournalArticleen


Dateien zu dieser Ressource

DateienGrößeFormatAnzeige

Zu diesem Dokument gibt es keine Dateien.

Das Dokument erscheint in:

Zur Kurzanzeige