Cardiac Surgery in Dialysis-Dependent Patients: Impact of Gender on Early Outcome in Single-Center Experience with 204 Consecutive Cases
dc.creator | Deutsch, O. | en |
dc.creator | Spiliopoulos, K. | en |
dc.creator | Kiask, T. | en |
dc.creator | Katsari, E. | en |
dc.creator | Rippinger, N. | en |
dc.creator | Eichinger, W. | en |
dc.creator | Gansera, B. | en |
dc.date.accessioned | 2015-11-23T10:25:23Z | |
dc.date.available | 2015-11-23T10:25:23Z | |
dc.date.issued | 2013 | |
dc.identifier | 10.1055/s-0032-1331841 | |
dc.identifier.issn | 0171-6425 | |
dc.identifier.uri | http://hdl.handle.net/11615/27011 | |
dc.description.abstract | Background 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.subject | cardiac | en |
dc.subject | kidney (includes related subject matter) | en |
dc.subject | coronary artery | en |
dc.subject | bypass grafting (CABG) surgery | en |
dc.subject | heart valve stenosis | en |
dc.subject | ARTERY-BYPASS-SURGERY | en |
dc.subject | INCREASE OPERATIVE RISK | en |
dc.subject | IN-HOSPITAL MORTALITY | en |
dc.subject | STAGE RENAL-FAILURE | en |
dc.subject | LONG-TERM SURVIVAL | en |
dc.subject | CHRONIC-HEMODIALYSIS | en |
dc.subject | CORONARY | en |
dc.subject | SURGERY | en |
dc.subject | GRAFT-SURGERY | en |
dc.subject | WOMEN | en |
dc.subject | DISEASE | en |
dc.subject | Cardiac & Cardiovascular Systems | en |
dc.subject | Respiratory System | en |
dc.subject | Surgery | en |
dc.title | Cardiac Surgery in Dialysis-Dependent Patients: Impact of Gender on Early Outcome in Single-Center Experience with 204 Consecutive Cases | en |
dc.type | journalArticle | en |
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