Surgical procedures before and after starting chronic hemodialysis in a predominantly male population with high prevalence of diabetes

PURPOSEThe purposes of this study were to analyze changes in the frequency of different categories of surgical procedures after initiation of chronic hemodialysis (HD) and to identify the types of procedures associated with in-hospital postoperative mortality.METHODSThis was a retrospective analysis...

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Bibliographic Details
Published in:International journal of artificial organs 2012-09, Vol.35 (9), p.648-654
Main Authors: Martinez, Milagros, Last, Reuben, Agaba, Emmanuel I., Kassam, Hussein, Sun, Yijuan, Servilla, Karen S., Murata, Glen H., Tzamaloukas, Antonios H.
Format: Article
Language:English
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Summary:PURPOSEThe purposes of this study were to analyze changes in the frequency of different categories of surgical procedures after initiation of chronic hemodialysis (HD) and to identify the types of procedures associated with in-hospital postoperative mortality.METHODSThis was a retrospective analysis of surgical procedures performed in an incident HD population of 392 patients followed in the dialysis unit of one hospital over 15 years. Among these patients, 384 were men and 258 had diabetes mellitus. At the start of HD, age of the patients was 66.3 ± 11.2 years and Charlson index 5.35 ± 2.41. Rates of procedures per patient year (n/[pt-yr]), reported as mean (95% Confidence Interval [CI]), were compared by nonparametric methods.RESULTSIn the whole HD population, the overall rate of procedures increased in the HD period (pre-HD 0.125 [95% CI 0.101-0.149] n/[pt-yr]; HD 0.928 [95% CI 0.795-1.061] n/[pt-yr]; p
ISSN:0391-3988
1724-6040
DOI:10.5301/ijao.5000120