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May 1, 2005International Journal of Angiology

Implications of end-stage renal disease on cardiac surgery

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Key result

Open heart surgery in 17 patients with end-stage renal failure resulted in 7 postoperative complications and 3 postoperative deaths, with surviving patients showing improved NYHA class at 16.5 months.

Why the study?

Does open heart surgery have acceptable short- and long-term outcomes in patients with end-stage renal failure requiring dialysis?

Population

17 patients with end-stage renal failure requiring dialysis who underwent open heart surgery during 1994 and…

Design

Cohort

Follow-up

average 16.5 months (range 7-30 months)

Authors

SCStefan ChristiansenFSF. SplittgerberMCM. Claus

Discussion

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Overview

May support surgical consideration in select dialysis patients; leaves open need for larger prospective studies.

Study Design

Type

Cohort (n=17)

Structured PICO

Does open heart surgery have acceptable short- and long-term outcomes in patients with end-stage renal failure requiring dialysis?

P
Population
17 patients with end-stage renal failure who underwent open heart surgery, followed for an average of 16.5 months.
E
Exposure
Open heart surgery with perioperative dialysis management (dialysis on the day before surgery, intraoperative hemofiltration, and postoperative hemodialysis on the second postoperative day or earlier)
O
Outcome
Complications, mortality, and long-term outcome (including NYHA class improvement)hard clinical

Open heart surgery in patients with end-stage renal disease on dialysis carries acceptable short- and long-term risks with notable improvements in NYHA class among survivors.

Cite This Study

Christiansen et al. (2005) conducted a cohort in End-stage renal failure (n=17). Open heart surgery was evaluated on Complications, mortality, and long-term outcome. Open heart surgery in 17 patients with end-stage renal failure resulted in 7 postoperative complications and 3 postoperative deaths, with surviving patients showing improved NYHA class at 16.5 months.

synapsesocial.com/papers/6a9e73648908ec8da0acb613https://doi.org/10.1007/bf01623876
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Also Consider

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

  1. 1Aortic and mitral valve disease in patients with end stage renal failure on long-term haemodialysis.1992 · 158 citations
  2. 2Predictive Value of Mitral and Aortic Valve Sclerosis for Survival in End-Stage Renal Disease on Continuous Ambulatory Peritoneal Dialysis2008 · 23 citations
  3. 3Early and Long-Term Results of Cardiac Surgery in Dialysis Patients1994 · 28 citations
  4. 4Open-Heart Surgery in Patients Requiring Chronic Hemodialysis1992 · 7 citations
  5. 5Coronary-Artery Surgery in Patients with End-Stage Renal Disease1980 · 47 citations