Long-term outcome of patients who require renal replacement therapy after cardiac surgery.

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.

journal_name

Eur J Anaesthesiol

authors

Landoni G,Zangrillo A,Franco A,Aletti G,Roberti A,Calabrò MG,Slaviero G,Bignami E,Marino G

doi

10.1017/S0265021505001705

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

17-22

issue

1

eissn

0265-0215

issn

1365-2346

pii

S0265021505001705

journal_volume

23

pub_type

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