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 Citations (Scopus)

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

Fingerprint

Peritoneal Dialysis
Thoracic Surgery
Renal Dialysis
Survival
Dialysis
Intubation
Coronary Artery Bypass
Comorbidity

Keywords

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

ASJC Scopus subject areas

  • Nephrology

Cite this

Comparing cardiac surgery in peritoneal dialysis and hemodialysis patients : Perioperative outcomes and two-year survival. / Kumar, Victoria A.; Ananthakrishnan, Shubha; Rasgon, Scott A.; Yan, Eric; Burchette, Raoul; Dewar, Karen.

In: Peritoneal Dialysis International, Vol. 32, No. 2, 03.2012, p. 137-141.

Research output: Contribution to journalArticle

Kumar, Victoria A. ; Ananthakrishnan, Shubha ; Rasgon, Scott A. ; Yan, Eric ; Burchette, Raoul ; Dewar, Karen. / Comparing cardiac surgery in peritoneal dialysis and hemodialysis patients : Perioperative outcomes and two-year survival. In: Peritoneal Dialysis International. 2012 ; Vol. 32, No. 2. pp. 137-141.
@article{ee6bdf16c5684281896a6510a9b96138,
title = "Comparing cardiac surgery in peritoneal dialysis and hemodialysis patients: Perioperative outcomes and two-year survival",
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.",
keywords = "Cardiac surgery, Coronary artery bypass grafting, Hemodialysis, Survival",
author = "Kumar, {Victoria A.} and Shubha Ananthakrishnan and Rasgon, {Scott A.} and Eric Yan and Raoul Burchette and Karen Dewar",
year = "2012",
month = "3",
doi = "10.3747/pdi.2010.00263",
language = "English (US)",
volume = "32",
pages = "137--141",
journal = "Peritoneal Dialysis International",
issn = "0896-8608",
publisher = "Multimed Inc.",
number = "2",

}

TY - JOUR

T1 - Comparing cardiac surgery in peritoneal dialysis and hemodialysis patients

T2 - Perioperative outcomes and two-year survival

AU - Kumar, Victoria A.

AU - Ananthakrishnan, Shubha

AU - Rasgon, Scott A.

AU - Yan, Eric

AU - Burchette, Raoul

AU - Dewar, Karen

PY - 2012/3

Y1 - 2012/3

N2 - 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.

AB - 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.

KW - Cardiac surgery

KW - Coronary artery bypass grafting

KW - Hemodialysis

KW - Survival

UR - http://www.scopus.com/inward/record.url?scp=84857871972&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84857871972&partnerID=8YFLogxK

U2 - 10.3747/pdi.2010.00263

DO - 10.3747/pdi.2010.00263

M3 - Article

C2 - 21965618

AN - SCOPUS:84857871972

VL - 32

SP - 137

EP - 141

JO - Peritoneal Dialysis International

JF - Peritoneal Dialysis International

SN - 0896-8608

IS - 2

ER -