Differential survival after coronary revascularization procedures among patients with renal insufficiency
Differential survival after coronary revascularization procedures among patients with renal insufficiency
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DOI：
10.1046/j.1523-1755.2001.00799.x
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发表时间：
2001-07-01
影响因子：
19.6
通讯作者：
Hannan, EL
中科院分区：
文献类型：
--
作者：
Szczech, LA;Reddan, DN;Hannan, EL
背景。急性心肌梗塞，心脏骤停。其他心脏事件是肾功能不全患者死亡的主要原因。先前对肾功能不全患者冠状动脉疾病干预的研究没有控制潜在的混杂因素，如冠状动脉疾病严重程度和左心室功能。本研究在控制混杂因素的情况下，探讨肾功能不全合并冠心病患者行冠状动脉旁路移植术（CABG）与经皮冠状动脉介入治疗（PCI）术后的生存率。这项回顾性队列研究纳入了1993年至1995年间接受冠状动脉搭桥手术或PCI的出院患者，使用纽约卫生部的数据库和Cox比例风险分析来估计与肾功能不全患者行冠状动脉搭桥相比行PCI的死亡率风险。肾功能按肌酐分类
Background. Acute myocardial infarction, cardiac arrest. and other cardiac events are the major cause of mortality among patients with renal insufficiency. Previous studies of interventions for coronary artery disease among patients with renal insufficiency have not controlled for potentially confounding factors such as coronary artery disease severity and left ventricular function. This study investigates the comparative survival for patients with renal insufficiency and coronary artery disease following coronary artery bypass graft (CABG) surgery as compared with percutaneous coronary artery intervention (PCI), while controlling for confounding factors.Methods. This retrospective cohort study of patients undergoing CABG surgery or PCI discharged between 1993 and 1995 uses the New York Department of Health databases and Cox proportional hazards analyses to estimate the mortality risk associated with CABG as compared with PCI for patients with renal insufficiency. Renal function was categorized as creatinine