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February 1, 1994Cardiovascular Surgery

Early and Long-Term Results of Cardiac Surgery in Dialysis Patients

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Population

40 patients receiving dialysis undergoing cardiac surgery, mean age 55.7 years. Preoperative NYHA classes…

Design

Cohort

Follow-up

mean 35 (range 1-93) months

Authors

UBUlrike BlumGoethe University FrankfurtMSM SkupinDeutsches Herzzentrum der CharitéRWRobert WágnerHarvard University

Discussion

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Implication

May support surgical referral in symptomatic dialysis patients; leaves open need for randomized confirmation of benefit.

Structured PICO

P
Population
40 patients receiving dialysis undergoing cardiac surgery, mean age 55.7 (range 31-71) years. Preoperative NYHA classes II (5%), III (52.2%) and IV (42.5%).
I
Intervention
Cardiac surgery (CABG [n=20], aortic valve replacement [n=6], mitral valve replacement [n=4], combined procedures [n=4], heart/renal transplantation [n=2], ASD closure [n=1], pericardial decortication [n=3])
O
Outcome
Operative mortality and actuarial survival rates at 1 and 5 yearshard clinical

Cardiac surgery in dialysis patients carries an acceptable hospital mortality and improves long-term quality of life, supporting surgical intervention in symptomatic patients.

Cite This Study

Blum et al. (1994) studied this question.

synapsesocial.com/papers/6a20e79034bef10fdaeb1f42https://doi.org/10.1177/096721099400200122

Topics

Heart transplantation
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Coronary-Artery Surgery in Patients with End-Stage Renal Disease1980 · 47 citations
  2. 2Accelerated Atherosclerosis in Prolonged Maintenance Hemodialysis1974 · 1,789 citations
  3. 3National Registry of Long-Term Dialysis Patients1971 · 133 citations
  4. 4Nonparametric Estimation from Incomplete Observations1958 · 39,556 citations
  5. 5Coronary Artery Bypass Surgery in Patients on Chronic Hemodialysis1989 · 81 citations