Acute Kidney Injury After Hip Fracture Surgery in Patients over 80 years of Age

Overview

Journal Arch Orthop Trauma Surg

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2021 May 31

PMID 34056678

Citations 5

Authors

Anil Agar

Deniz Gulabi

Adem Sahin

Orhan Gunes

Cafer Ozgur Hancerli

Bulent Kilic

Cemil Erturk

Affiliations

Soon will be listed here.

Abstract

Background: The aim of the study is to determine the rate of acute kidney injury (AKI) after hip fracture surgery over the age of 80 and to investigate the factors associated with AKI.

Methods: From January 2015 to January 2020, 589 patients who underwent surgery of hip fractures at our institution were retrospectively reviewed. Serum creatinine (sCr) was analysed daily pre- and postoperatively during the hospital stay. Patients were divided into groups; AKI and non-AKI based on KDIGO (Kidney Disease Global Outcomes) criteria. The incidence, risk factors, and mortality of postoperative AKI were investigated.

Results: Out of 589 patients, 58 developed an AKI (9.8%). Smoking (p: 0.004), pre and postoperative low albumin level (p < 0.05), pre- and postoperative high potassium level (p < 0.05), pre- and postoperative high urea levels (p < 0.05), high amount of intra-operative bleeding (p: 0.003) and prolonged surgery time (p: 0.003) were found to be risk factors associated with AKI. Although the mortality rate was higher in the AKI group, it was not statistically significant (p > 0.05).

Conclusion: AKI is a temporary but common complication following hip fracture surgery, which can also be predicted if risk factors are adequately observed. It typically increases the length of hospital stays, mortality and morbidity.

Level Of Evidence: Level III evidence, Retrospective comparative study.

Citing Articles

Acute Kidney Injury Post Hip Fracture Surgery: Local Quality Improvement Project and Review of Literature.

Metry A, Manzoor N, Elkilany A, Wattage K, Sain A, Hussain F Cureus. 2025; 16(12):e75594.

PMID: 39803123 PMC: 11724692. DOI: 10.7759/cureus.75594.

Preoperative inflammatory biomarkers reveal renal involvement in postsurgical mortality in hip fracture patients: an exploratory study.

Valdes A, Ikram A, Taylor L, Zheng A, Kouraki A, Kelly A Front Immunol. 2024; 15:1372079.

PMID: 38919625 PMC: 11197399. DOI: 10.3389/fimmu.2024.1372079.

The relationship between admission hyperglycaemia and urinary tract infections in geriatric patients with hip fractures.

Yao W, Tang W, Wang W, Lv Q, Ding W Int Orthop. 2023; 47(10):2591-2600.

PMID: 37436524 DOI: 10.1007/s00264-023-05882-y.

Construction and Validation of a Nomogram for Predicting Acute Kidney Injury After Hip Fracture Surgery.

Pan L, Liu Z, Wu H, Wang H, Wang H, Ning T Clin Interv Aging. 2023; 18:181-191.

PMID: 36818547 PMC: 9936559. DOI: 10.2147/CIA.S399314.

Acute kidney injury after major orthopedic surgery: A retrospective study of frequency and related risk factors.

Hanci V, Ozbilgin S, Basci O, Omur D, Boztas N Acta Orthop Traumatol Turc. 2022; 56(4):289-295.

PMID: 35968622 PMC: 9612670. DOI: 10.5152/j.aott.2022.22048.

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