March 26, 2008The Thoracic and Cardiovascular Surgeon
Cardiac Surgery in Patients on Chronic Hemodialysis: Short and Long-Term Survival
Why the study?
Does combined CABG and valve surgery or multiple valve surgery worsen perioperative mortality and long-term survival compared to isolated CABG or AVR in patients on chronic hemodialysis?
Population
Patients on chronic hemodialysis undergoing cardiac surgery
Comparison
Combined CABG and valve-related procedures or… vs Isolated CABG and aortic valve replacement (AVR)
Design
Cohort
Follow-up
Short and long-term
Authors
Discussion
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Member takes
Implication
Complex surgery associated with higher mortality in hemodialysis; hypothesis-generating and should not yet change practice.
Structured PICO
Does combined CABG and valve surgery or multiple valve surgery worsen perioperative mortality and long-term survival compared to isolated CABG or AVR in patients on chronic hemodialysis?
P
Population
Patients on chronic hemodialysis undergoing cardiac surgery
I
Intervention
Combined CABG and valve-related procedures or multiple valve surgery
C
Comparator
Isolated CABG and aortic valve replacement (AVR)
O
Outcome
Perioperative mortality and long-term survivalhard clinical
In patients on chronic hemodialysis, complex cardiac surgeries (combined CABG/valve or multiple valves) carry a higher mortality risk and worse long-term survival compared to isolated procedures.
Cite This Study
Kogan et al. (2008) studied this question.