Early and late outcomes of cardiac surgery in patients with moderate to severe preoperative renal dysfunction without dialysis.
Early and late outcomes of cardiac surgery in patients with moderate to severe preoperative renal dysfunction without dialysis.
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DOI：
10.1510/icvts.2007.164483
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发表时间：
2008-02-01
影响因子：
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通讯作者：
Adams, David H
中科院分区：
文献类型：
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作者：
Filsoufi, Farzan;Rahmanian, Parwis B;Adams, David H
众所周知，需要透析的终末期肾衰竭对心脏手术的早期和晚期结局产生负面影响。然而，关于非透析依赖性肾衰竭患者（NDRF）的数据有限。我们回顾性分析了从1998年1月至2006年9月接受心脏手术的6940例连续患者。排除接受心脏移植和心室辅助装置植入的患者（n=246）和透析依赖患者（n=245）。135例（2.1%）患者存在NDRF（平均年龄64 ± 14岁，38%为女性）。NRDF患者更可能出现心脏相关危险因素，包括射血分数
It is well known that end-stage renal failure requiring dialysis negatively impacts early and late outcome of cardiac surgery. However, data with respect to non-dialysis-dependent renal failure patients (NDRF) are limited. We retrospectively analyzed 6940 consecutive patients undergoing cardiac surgery from January 1998 to September 2006. Patients undergoing cardiac transplantation and ventricular assist device implantation (n=246) and dialysis dependent patients (n=245) were excluded. NDRF was present in 135 (2.1%) patients (mean age 64+/-14, 38% female). NRDF patients were more likely to present with cardiac related risk factors including ejection fraction