TY - JOUR
T1 - On pump versus off pump coronary artery bypass grafting in patients with end-stage renal disease and coronary artery disease — A nation-wide, propensity score matched database analyses
AU - Chen, Jien Jiun
AU - Lin, Lian Yu
AU - Yang, Yao Hsu
AU - Hwang, Juey Jen
AU - Chen, Pau Chung
AU - Lin, Jiunn Lee
AU - Chi, Nai Hsin
N1 - Publisher Copyright:
© 2016 Elsevier Ireland Ltd
PY - 2017/1/15
Y1 - 2017/1/15
N2 - Objective The usage of on or off cardiopulmonary bypass in patients with coronary artery disease receiving coronary artery bypass grafting (CABG) surgery had been debated and had not yet been investigated thoroughly in patients with end-stage renal disease (ESRD). We aimed to study cardiovascular outcomes and total mortality in these patients by using our National Health Insurance (NHI) database. Method By using our NHI ESRD claim database, we searched ESRD patients aged more than 18 years, who received CABG and divided them into on pump and off pump groups. Baseline characteristics and underlying comorbidities were identified from the database. Propensity score (PS) method was used to match all the potential confounders between patients. Outcomes including mortality, myocardial infarction, stroke and repeat revascularization within 30 days, 1 year and whole follow-up period were also obtained. Result A total of 134,410 ESRD patients were identified in the database. We included 341 patients and 543 patients who received off pump and on pump CABG respectively. The hazard ratios of different outcomes at 30 days, 1 year and a median of 745 days after CABG did not show significant different between on, or off pump groups before and after PS match. Conclusion ESRD patients with CAD undergoing either on pump or off pump CABG surgery showed similar outcomes in 30 days, 1 year and whole follow-up period.
AB - Objective The usage of on or off cardiopulmonary bypass in patients with coronary artery disease receiving coronary artery bypass grafting (CABG) surgery had been debated and had not yet been investigated thoroughly in patients with end-stage renal disease (ESRD). We aimed to study cardiovascular outcomes and total mortality in these patients by using our National Health Insurance (NHI) database. Method By using our NHI ESRD claim database, we searched ESRD patients aged more than 18 years, who received CABG and divided them into on pump and off pump groups. Baseline characteristics and underlying comorbidities were identified from the database. Propensity score (PS) method was used to match all the potential confounders between patients. Outcomes including mortality, myocardial infarction, stroke and repeat revascularization within 30 days, 1 year and whole follow-up period were also obtained. Result A total of 134,410 ESRD patients were identified in the database. We included 341 patients and 543 patients who received off pump and on pump CABG respectively. The hazard ratios of different outcomes at 30 days, 1 year and a median of 745 days after CABG did not show significant different between on, or off pump groups before and after PS match. Conclusion ESRD patients with CAD undergoing either on pump or off pump CABG surgery showed similar outcomes in 30 days, 1 year and whole follow-up period.
KW - Coronary artery bypass grafting
KW - Coronary artery disease
KW - End-stage renal disease
KW - Off pump
KW - On pump
KW - Coronary artery bypass grafting
KW - Coronary artery disease
KW - End-stage renal disease
KW - Off pump
KW - On pump
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U2 - 10.1016/j.ijcard.2016.10.108
DO - 10.1016/j.ijcard.2016.10.108
M3 - Article
C2 - 27836299
AN - SCOPUS:85004154157
SN - 0167-5273
VL - 227
SP - 529
EP - 534
JO - International Journal of Cardiology
JF - International Journal of Cardiology
ER -