Trends and Outcomes of Aortic Valve Replacement in Patients With End-Stage Renal Disease on Hemodialysis

Hemodialysis (HD) patients with aortic stenosis are less likely to undergo aortic valve replacement (AVR) due to their excess perioperative mortality. We aimed to evaluate contemporary utilization and outcomes of combined and isolated AVR in HD patients. The Nationwide Inpatient Sample was used to i...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of cardiology 2017-11, Vol.120 (9), p.1626-1632
Main Authors: Aljohani, Sami, Alqahtani, Fahad, Almustafa, Ahmad, Boobes, Khaled, Modi, Sujal, Alkhouli, Mohamad
Format: Article
Language:English
Subjects:
Aged
Aortic stenosis
Aortic valve
Aortic Valve Stenosis - complications
Aortic Valve Stenosis - surgery
Blood transfusion
Blood transfusions
Dialysis
End-stage renal disease
Female
Firing rate
Heart diseases
Heart surgery
Heart Valve Prosthesis Implantation
Hemodialysis
Hospital Mortality
Hospitalization
Hospitals
Humans
Kidney diseases
Kidney Failure, Chronic - complications
Kidney Failure, Chronic - therapy
Kidney transplantation
Male
Middle Aged
Morbidity
Mortality
Patients
Renal Dialysis
Retrospective Studies
Standard deviation
Stenosis
Tamponade
Transfusion
Treatment Outcome
Trends
Utilization
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Hemodialysis (HD) patients with aortic stenosis are less likely to undergo aortic valve replacement (AVR) due to their excess perioperative mortality. We aimed to evaluate contemporary utilization and outcomes of combined and isolated AVR in HD patients. The Nationwide Inpatient Sample was used to identify 142,046 patients who underwent AVR in 2005 to 2014, of whom 2,264 (1.6%) were on HD. Crude and adjusted in-hospital outcomes and costs were assessed in unmatched and propensity-matched cohorts of HD and non-HD patients, respectively. The utilization of AVR in HD patients increased significantly (p = 0.047), with a significant decrease in mortality (p = 0.013). Compared with patients not on HD, crude in-hospital mortality in HD patients was twice higher (11.8% vs 6.2%, p 
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2017.07.063