Preoperative and intraoperative risk factors for acute kidney injury after hip fracture surgery: a cohort retrospective study
Introduction Hip fractures have several adverse effects on patients’ morbidity and mortality. Postoperative Acute kidney injury (AKI) is one of the complications that have a significant impact on the patient’s overall prognosis. We aimed to identify AKI risk after hip fracture surgery and the preope...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2023-12-01
|
| Series: | Renal Failure |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/0886022X.2023.2223313 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850143261671292928 |
|---|---|
| author | Bassem I. Haddad Abdulrahman A. Alhajahjeh Abdelrahman Altarazi Layla El-Amayreh Mohammad Hamdan Batool AlQuabeh Waid Abd Ul Ghani Randa I. Farah |
| author_facet | Bassem I. Haddad Abdulrahman A. Alhajahjeh Abdelrahman Altarazi Layla El-Amayreh Mohammad Hamdan Batool AlQuabeh Waid Abd Ul Ghani Randa I. Farah |
| author_sort | Bassem I. Haddad |
| collection | DOAJ |
| description | Introduction Hip fractures have several adverse effects on patients’ morbidity and mortality. Postoperative Acute kidney injury (AKI) is one of the complications that have a significant impact on the patient’s overall prognosis. We aimed to identify AKI risk after hip fracture surgery and the preoperative and intraoperative risk factors.Methodology We conducted a retrospective cohort study in a tertiary care hospital on adult patients who underwent surgery for hip fractures between January 2015 and August 2021. All clinical data were reviewed.Result A total of 611 patients were included (age = 76.44 ± 9.69 years). 126 (20.6%) of them developed AKI postoperatively. In multilinear logistic regression analysis, factors associated with postoperative AKI included eGFR [odds ratio (OR): 0.98; 95% confidence interval (CI): 0.97–0.99 with a p value .01], spinal anesthesia [OR: 1.78; 95% CI: 1.1–2.9 with a p value .01], and partial hip replacement (PHR) type of surgery [OR: 0.56; 95% CI: 0.32–0.96 with a p value .036]. The development of postoperative AKI was the strongest factor that increase mortality of the patients as the (HR = 2.42, CI 95% [1.57–3.74]; p value <.001).Conclusion In this study, we highlight that lower eGFR, and spinal anesthesia were associated with a higher risk of AKI, and PHR surgery has lower odds to develop AKI. Postoperative AKI is associated with a higher mortality rate after hip fracture surgery. |
| format | Article |
| id | doaj-art-fe253600d7424ec2b51cd64f806f8d8f |
| institution | OA Journals |
| issn | 0886-022X 1525-6049 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Renal Failure |
| spelling | doaj-art-fe253600d7424ec2b51cd64f806f8d8f2025-08-20T02:28:46ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492023-12-0145110.1080/0886022X.2023.2223313Preoperative and intraoperative risk factors for acute kidney injury after hip fracture surgery: a cohort retrospective studyBassem I. Haddad0Abdulrahman A. Alhajahjeh1Abdelrahman Altarazi2Layla El-Amayreh3Mohammad Hamdan4Batool AlQuabeh5Waid Abd Ul Ghani6Randa I. Farah7Department of Special Surgery, Division of Orthopedics, School of Medicine, The University of Jordan, Amman, JordanFaculty of Medicine, The University of Jordan, Amman, JordanDepartment of Special Surgery, Division of Orthopedics, School of Medicine, The University of Jordan, Amman, JordanFaculty of Medicine, The University of Jordan, Amman, JordanDepartment of Special Surgery, Division of Orthopedics, School of Medicine, The University of Jordan, Amman, JordanFaculty of Medicine, The University of Jordan, Amman, JordanFaculty of Medicine, The University of Jordan, Amman, JordanAffiliation Nephrology Division, Internal Medicine Department, School of Medicine, The University of Jordan, Amman, JordanIntroduction Hip fractures have several adverse effects on patients’ morbidity and mortality. Postoperative Acute kidney injury (AKI) is one of the complications that have a significant impact on the patient’s overall prognosis. We aimed to identify AKI risk after hip fracture surgery and the preoperative and intraoperative risk factors.Methodology We conducted a retrospective cohort study in a tertiary care hospital on adult patients who underwent surgery for hip fractures between January 2015 and August 2021. All clinical data were reviewed.Result A total of 611 patients were included (age = 76.44 ± 9.69 years). 126 (20.6%) of them developed AKI postoperatively. In multilinear logistic regression analysis, factors associated with postoperative AKI included eGFR [odds ratio (OR): 0.98; 95% confidence interval (CI): 0.97–0.99 with a p value .01], spinal anesthesia [OR: 1.78; 95% CI: 1.1–2.9 with a p value .01], and partial hip replacement (PHR) type of surgery [OR: 0.56; 95% CI: 0.32–0.96 with a p value .036]. The development of postoperative AKI was the strongest factor that increase mortality of the patients as the (HR = 2.42, CI 95% [1.57–3.74]; p value <.001).Conclusion In this study, we highlight that lower eGFR, and spinal anesthesia were associated with a higher risk of AKI, and PHR surgery has lower odds to develop AKI. Postoperative AKI is associated with a higher mortality rate after hip fracture surgery.https://www.tandfonline.com/doi/10.1080/0886022X.2023.2223313Hip fractureorthopedic surgeryacute kidney injurypreoperativerisk factorsretrospective cohort study |
| spellingShingle | Bassem I. Haddad Abdulrahman A. Alhajahjeh Abdelrahman Altarazi Layla El-Amayreh Mohammad Hamdan Batool AlQuabeh Waid Abd Ul Ghani Randa I. Farah Preoperative and intraoperative risk factors for acute kidney injury after hip fracture surgery: a cohort retrospective study Renal Failure Hip fracture orthopedic surgery acute kidney injury preoperative risk factors retrospective cohort study |
| title | Preoperative and intraoperative risk factors for acute kidney injury after hip fracture surgery: a cohort retrospective study |
| title_full | Preoperative and intraoperative risk factors for acute kidney injury after hip fracture surgery: a cohort retrospective study |
| title_fullStr | Preoperative and intraoperative risk factors for acute kidney injury after hip fracture surgery: a cohort retrospective study |
| title_full_unstemmed | Preoperative and intraoperative risk factors for acute kidney injury after hip fracture surgery: a cohort retrospective study |
| title_short | Preoperative and intraoperative risk factors for acute kidney injury after hip fracture surgery: a cohort retrospective study |
| title_sort | preoperative and intraoperative risk factors for acute kidney injury after hip fracture surgery a cohort retrospective study |
| topic | Hip fracture orthopedic surgery acute kidney injury preoperative risk factors retrospective cohort study |
| url | https://www.tandfonline.com/doi/10.1080/0886022X.2023.2223313 |
| work_keys_str_mv | AT bassemihaddad preoperativeandintraoperativeriskfactorsforacutekidneyinjuryafterhipfracturesurgeryacohortretrospectivestudy AT abdulrahmanaalhajahjeh preoperativeandintraoperativeriskfactorsforacutekidneyinjuryafterhipfracturesurgeryacohortretrospectivestudy AT abdelrahmanaltarazi preoperativeandintraoperativeriskfactorsforacutekidneyinjuryafterhipfracturesurgeryacohortretrospectivestudy AT laylaelamayreh preoperativeandintraoperativeriskfactorsforacutekidneyinjuryafterhipfracturesurgeryacohortretrospectivestudy AT mohammadhamdan preoperativeandintraoperativeriskfactorsforacutekidneyinjuryafterhipfracturesurgeryacohortretrospectivestudy AT batoolalquabeh preoperativeandintraoperativeriskfactorsforacutekidneyinjuryafterhipfracturesurgeryacohortretrospectivestudy AT waidabdulghani preoperativeandintraoperativeriskfactorsforacutekidneyinjuryafterhipfracturesurgeryacohortretrospectivestudy AT randaifarah preoperativeandintraoperativeriskfactorsforacutekidneyinjuryafterhipfracturesurgeryacohortretrospectivestudy |