Percutaneous Coronary Intervention With a Drug-Eluting Stent Versus Coronary Artery Bypass Grafting in Patients Receiving Dialysis: A National Study From Taiwan

We aimed to study the comparative effectiveness of percutaneous coronary intervention with drug-eluting stent and coronary artery bypass grafting in patients receiving dialysis. This was a retrospective observational cohort study. This population-based study identified patients receiving dialysis ho...

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Veröffentlicht in:Kidney medicine 2024-02, Vol.6 (2), p.100768, Article 100768
Hauptverfasser: Pan, Szu-Yu, Yang, Ju-Yeh, Teng, Nai-Chi, Chen, Yun-Yi, Wang, Shi-Heng, Lee, Chien-Lin, Chen, Kang-Lung, Chiu, Yen-Ling, Hsu, Shih-Ping, Peng, Yu-Sen, Chen, Yung-Ming, Lin, Shuei-Liong, Chen, Likwang
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Sprache:eng
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Zusammenfassung:We aimed to study the comparative effectiveness of percutaneous coronary intervention with drug-eluting stent and coronary artery bypass grafting in patients receiving dialysis. This was a retrospective observational cohort study. This population-based study identified patients receiving dialysis hospitalized for coronary revascularization between January 1, 2009 and December 31, 2015, in the Taiwan National Health Insurance Research Database. Patients received percutaneous coronary intervention with drug-eluting stent versus coronary artery bypass grafting. The study outcomes were all-cause mortality, in-hospital mortality, and repeat revascularization. Propensity scores were used to match patients. Cox proportional hazards models and logistic regression models were constructed to examine associations between revascularization strategies and mortality. Interval Cox models were fitted to estimate time-varying hazards during different periods. A total of 1,840 propensity score-matched patients receiving dialysis were analyzed. Coronary artery bypass grafting was associated with higher in-hospital mortality (coronary artery bypass grafting vs percutaneous coronary intervention with drug-eluting stent; crude mortality rate 12.5% vs 3.3%; adjusted OR, 5.22; 95% CI, 3.42-7.97; P
ISSN:2590-0595
2590-0595
DOI:10.1016/j.xkme.2023.100768