Research Article

Impact of Chronic Kidney Disease on Clinical Outcomes during Hospitalization and Five-Year Follow-Up after Coronary Artery Bypass Grafting

Table 4

Operative details and outcomes of the studied patients.

Studied variablesAll patientsPatients with CKDPatients without CKD value

Type of surgeryIsolated CABG (n, %)370 (90.2)106 (90.6)264 (90.1)0.87
CABG plus valve surgery (n, %)40 (9.8)11 (9.4)29 (9.9)
Cardiopulmonary bypass (minutes)100 (77–126)98 (75–128)100 (78–125)0.96
Aortic cross-clamping (minutes)58 (43–83)50 (42–77.5)63 (44–84)0.11
ApproachSternotomy (n, %)398 (97.1)112 (95.7)286 (97.6)0.33
Minimally invasive12 (2.9)5 (4.3)7 (2.4)
Urgency of surgeryElective (n, %)397 (96.8)114 (97.4)283 (96.6)0.76
Emergent (n, %)13 (3.2)3 (2.6)10 (3.4)
Exploration for bleeding (n, %)27 (6.6)6 (5.1)21 (7.2)0.45
New onset AF (n, %)109 (26.6)31 (26.5)78 (26.6)0.9
Ventricular arrhythmias (n, %)24 (5.9)8 (6.8)16 (5.5)0.59
Acute kidney injury (n, %)105 (25.6)45 (38.5)60 (20.5)<0.001
New need for hemodialysis (n, %)24 (5.9)17 (14.5)7 (2.4)<0.001
Gastrointestinal bleeding (n, %)20 (4.9)9 (7.7)11 (3.8)0.09
Sternotomy wound infection (n, %)42 (10.2)11 (9.4)31 (10.6)0.9
Wound debridement (n, %)18 (4.4)7 (5.9)11 (3.6)0.031
ICU days4 (3–6)5 (3–7)4 (3–5)0.002
Inotropes days2 (1-2)2 (1–4)1 (1-2)<0.001
Ventilator days1 (1-2)1 (1-2)1 (1-1)0.019
Post-ICU ward days5 (3–8)6 (4–10)4 (3–6)0.001
Postoperative ECMO (n, %)8 (2)3 (2.6)5 (1.7)0.69
Postoperative IABP (n, %)32 (7.8)8 (6.8)24 (8.2)0.64
Tracheostomy (n, %)12 (2.9)6 (5.1)6 (2)0.11
Hospital mortality (n, %)11 (2.7)5 (4.3)6 (2.04)0.04
Acute ischemic stroke (n, %)30 (7.3)12 (10.3)18 (6.14)0.03
Intracranial bleeding (n, %)1 (3.2)0 (0)1 (0.34)1
Stroke during follow-up (n, %)15 (3.7)8 (6.8)7 (2.4)0.01
Mortality during follow-up (n, %)28 (6.8)12 (10.3)16 (5.5)0.5