In:
Clinical Transplantation, Wiley, Vol. 30, No. 10 ( 2016-10), p. 1258-1263
Abstract:
Cardiovascular disease is the leading cause of morbidity and mortality in patients with chronic kidney disease ( CKD ). In fact, death from cardiovascular disease is the number one cause of graft loss in kidney transplant ( KT x) patients. Compared to patients on dialysis, CKD patients with KT x have increased quality and length of life. It is not known, however, whether outcomes of coronary artery bypass graft ( CABG ) surgery differ between CKD patients with KT x or on dialysis. Methods This was a retrospective cohort study comparing CKD patients with KT x or on dialysis undergoing CABG surgery included in the Nationwide Inpatient Sample from 2002 to 2011. Logistic and linear regression models were used to estimate the adjusted associations of KT x on all‐cause in‐hospital mortality, length of stay, cost of hospitalization, and rate of complications in CABG surgery. Results CKD patients with KT x had decreased all‐cause in‐hospital mortality (2.68% vs 5.86%, odds ratio ( OR )=0.56, 95% confidence interval ( CI )=0.32 to 0.99, P =.046), length of stay (β=−2.96, 95% CI =−3.67 to −2.46, P 〈 .001), and total hospital charges (difference=−$38 884, 95% CI =−$48 173 to −29 596, P 〈 .001). They also had decreased rate of a number of perioperative complications. Conclusions CKD patient with KT x have better perioperative outcomes in CABG surgery compared to patients on dialysis.
Type of Medium:
Online Resource
ISSN:
0902-0063
,
1399-0012
DOI:
10.1111/ctr.2016.30.issue-10
Language:
English
Publisher:
Wiley
Publication Date:
2016
detail.hit.zdb_id:
2739458-X
detail.hit.zdb_id:
2004801-4
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