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.
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.
Authors: Pierre-Marc Villeneuve; Edward G Clark; Lindsey Sikora; Manish M Sood; Sean M Bagshaw Journal: Intensive Care Med Date: 2015-12-01 Impact factor: 17.440
Authors: Fatin Sammour; Marcus Haw; John Paisey; Richard Cope; Mike Herbertson; Tony Salmon; Joseph Vettukattil; Mary Rogerson; Varvara Karagkiozaki; Gruschen Veldtman Journal: Pediatr Cardiol Date: 2008-12-04 Impact factor: 1.655
Authors: Nausheen F Siddiqui; Steven G Coca; Philip J Devereaux; Arsh K Jain; Lihua Li; Jin Luo; Chirag R Parikh; Michael Paterson; Heather Thiessen Philbrook; Ron Wald; Michael Walsh; Richard Whitlock; Amit X Garg Journal: CMAJ Date: 2012-06-25 Impact factor: 8.262
Authors: G Landoni; T Bove; D Pasero; M Comis; S Orando; F Pinelli; F Guarracino; A Corcione; N Galdieri; M Zucchetti; E Maglioni; B Biagioli; G Pala; M Frontini; F Caramelli; B Persi; M Renzini; F Paoletti; L Lorini; A Morelli; G Alvaro; R Bianco; D Pittarello; A Manzato; G Pedersini; A Mizzi; N Lojacono; P Leoncini; T Iovino; C Cariello; R Baldassarri; A M Camata; G Padua; G Frascaroli; S Leonardi; E Bignami; A Zangrillo Journal: HSR Proc Intensive Care Cardiovasc Anesth Date: 2010