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August 14, 2013Kosuyolu Kalp DergisiOpen Access

Perioperative Management of Chronic Dialysis Patients Undergoing Cardiac Surgery

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Key result

Cardiac surgery in end-stage renal disease patients resulted in an in-hospital mortality rate of 15.8% and an 84.2% survival rate at a median follow-up of 16 months.

Population

19 patients with end-stage renal disease undergoing hemodialysis or peritoneal dialysis requiring cardiac…

Design

Cohort

Follow-up

median 16 months

Authors

EDElıf DurukanHGHasan Alper GürbüzNSNevriye Salman

Discussion

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Overview

High perioperative mortality urges individualized decisions in ESRD; cohort data leave open optimal strategies for prospective trials.

Study Design

Type

Observational (n=19)

Multicenter

No

Structured PICO

P
Population
19 patients with end-stage renal disease undergoing hemodialysis (n=17) or peritoneal dialysis (n=2) requiring cardiac surgery, mean age 56.32, 52.6% male, single-center in Turkey.
I
Intervention
Cardiac surgery (isolated CABG, CABG with mitral procedures, or isolated valve surgery) utilizing cardiopulmonary bypass, intraoperative ultrafiltration, and perioperative dialysis management.
O
Outcome
Mean time to extubation, intensive care unit (ICU) and postoperative hospital length of stay, postoperative stroke, postoperative total amount of blood loss, postoperative exploration for hemorrhage, number of used packed RBC, FFP and platelet concentrates, and inhospital mortality.hard clinical

Cardiac surgery in patients with end-stage renal disease carries a high in-hospital mortality (15.8%), but survivors show acceptable mid-term survival (84.2% at 16 months) when managed with careful perioperative dialysis and ultrafiltration strategies.

Limitations

  • Single center experience
  • Relatively low number of patients
  • Retrospective and observational study design
  • single center
  • relatively low number of patients
  • retrospective and observational study

Cite This Study

Durukan et al. (2013) conducted an observational in End-stage renal disease undergoing cardiac surgery (n=19). Cardiac surgery with perioperative management was evaluated on In-hospital mortality. Cardiac surgery in end-stage renal disease patients resulted in an in-hospital mortality rate of 15.8% and an 84.2% survival rate at a median follow-up of 16 months.

synapsesocial.com/papers/6a0d9d3ccae7912d2fa52011https://doi.org/10.5578/kkd.5162
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