Comparing cardiac surgery in peritoneal dialysis and hemodialysis patients: Perioperative outcomes and two-year survival

Victoria A. Kumar, Shubha Ananthakrishnan, Scott A. Rasgon, Eric Yan, Raoul Burchette, Karen Dewar

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Background: We sought to compare perioperative outcomes and 2-year survival in a cohort of peritoneal dialysis (PD) patients compared with matched hemodialysis (HD) patients who underwent cardiothoracic surgery at our institution. Methods: We obtained a list of all dialysis-dependent patients who underwent cardiac surgery (coronary artery bypass grafting, valve replacement, or both) at our center between 1994 and 2008. All patients undergoing PD at the time of surgery were included in our analysis. Two HD patients matched for age, diabetes status, and Charleston comorbidity score were obtained for each PD patient. Results: The analysis included 36 PD patients and 72 HD patients. Mean age, sex, diabetes status, cardiac unit stay, hospital stay, and operative mortality did not differ by dialysis modality. The incidence of 1 or more postoperative complications (infection, prolonged intubation, death) was higher for HD patients (50% vs. 28% for PD patients, p = 0.046). After surgery, 2 PD patients required conversion to HD. The 2-year survival was 69% for PD patients and 66% for HD patients (p = 0.73). Conclusions: Our findings suggest that, compared with HD patients, PD patients who require cardiac surgery do not experience more early complications or a lesser 2-year survival and that 2-year survival for dialysis patients after cardiac surgery is acceptable.

Original languageEnglish (US)
Pages (from-to)137-141
Number of pages5
JournalPeritoneal Dialysis International
Volume32
Issue number2
DOIs
StatePublished - Mar 2012
Externally publishedYes

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Keywords

  • Cardiac surgery
  • Coronary artery bypass grafting
  • Hemodialysis
  • Survival

ASJC Scopus subject areas

  • Nephrology

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