Long-term outcome of patients who require renal replacement therapy after cardiac surgery.
Eur J Anaesthesiol
; 23(1): 17-22, 2006 Jan.
Article
em En
| MEDLINE
| ID: mdl-16390560
ABSTRACT
BACKGROUND AND OBJECTIVE:
Acute renal failure is a serious complication of cardiac surgery. We studied the long-term survival and quality of life of patients requiring renal replacement therapy after cardiac surgery, since they represent a heavy burden on hospital resources and their outcome has never been adequately evaluated.METHODS:
Out of 7846 consecutive cardiac surgical patients, 126 (1.6%) required postoperative renal replacement therapy their preoperative status and hospital course was compared with patients who had no need of postoperative renal replacement therapy. A multivariate analysis identified predictors of renal replacement therapy. Long-term survival and quality of life was collected in patients who had renal replacement therapy and in case-matched controls.RESULTS:
Hospital mortality in the study group was 84/126 (66.7%) vs. 118/7720 (1.5%) in the control population (P 1000 mL, chronic obstructive pulmonary disease and age.CONCLUSIONS:
This study confirms that the in-hospital mortality of patients requiring renal replacement therapy is high and shows a low long-term mortality with reasonable quality of life in patients discharged from hospital alive.
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Base de dados:
MEDLINE
Assunto principal:
Transplante de Rim
/
Procedimentos Cirúrgicos Cardíacos
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Eur J Anaesthesiol
Assunto da revista:
ANESTESIOLOGIA
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Itália