演題情報

学会・委員会企画

開催回
第56回・2011年・横浜
 

Risks of Postoperative Mortality and Complications among Surgical Patients with Dialysis: A Population-Based Study

演題番号 : GI-9-2-1

Chien-Chang Liao:1、Ta-Liang Chen:2

1:Department of Anesthesiology, Taipei Medical University Hospital, Taipei, Taiwan、2:School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan

 

【Context】 Patients with dialysis have an increased risk of complications. Few studies investigated the postoperative mortality among surgical patients with dialysis.  【Objective】 The objective of this study is to investigate the risk of postoperative mortality and complications among surgical patients with dialysis (including hemodialysis and peritoneal dialysis).  【Design】 Cross-sectional study.Setting: TaiwanParticipants: We used data obtained from the Taiwan National Health Insurance program to identify 14558 surgical patients with dialysis during the period 2004-2007 and 58232 controls without dialysis were randomly selected with frequency matching by age and sex.Main Outcome Measures: The 30-day postoperative mortality and complications including pneumonia, postoperative bleeding, septicemia, and stroke were evaluated. 【Results】 Surgical patients with dialysis had higher rates of 30-day mortality and complications compared with controls. After adjustment, patients with dialysis were at higher risks of postoperative 30-day mortality (odds ratio [OR] = 2.29, 95% confidence interval [CI] = 1.90-2.76), pneumonia (OR = 1.44, 95% CI = 1.26-1.64), postoperative bleeding (OR = 1.14, 95% CI = 1.02-1.28), septicemia (OR = 2.03, 95% CI = 1.83-2.26), and stroke (OR=1.43, 95% CI = 1.25-1.64) compared with controls. Further analysis showed that the adjusted ORs of postoperative 30-day mortality for surgical patients with hemodialysis or peritoneal dialysis were 2.09 (95% CI = 1.59-2.74) and 2.38 (95% CI = 1.95-2.91), respectively. 【Conclusions】 Surgical patients with hemodialysis or peritoneal dialysis had higher risks of postoperative complications and at least twice the odds of 30-day mortality than surgical patients without dialysis.

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