Incidence and Predictors of Postoperative Acute Kidney Injury in Older Adults with Hip Fractures

Wang, Hao; Cao, Xiangyu; li, baoqiang; Wu, Hao; Ning, Taiguo; Cao, Yongping

doi:10.2139/ssrn.4350075

Cited by 1 publication

(1 citation statement)

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“…Combatively Braüner Christensen J et al 14 conducted the study the occurrence of acute kidney injury (AKI) in geriatric patients undergoing hip fracture surgery and they found mean age of the patients 82.4 ± 8.8 years. Hagino T et al 17 22 also reported that the frequency of AKI was 12.1% following hip fracture. Our findings were also supported by the Li ZC et al 23 as they observed that the collective occurrence of AKI subsequent to hip fracture surgery was roughly 17%, and postoperative serum albumin levels might represent a noteworthy risk factor for AKI.…”

Section: Resultsmentioning

confidence: 96%

Incidental Finding of Deranged Renal Function in Elderly Patients Presenting with Fractures in a Tertiary Care Hospital

Shabana Abbas,

Mehnaz Khattak,

Sanober Hameed

et al. 2024

Ann Pak Inst Med Sci

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Objective: To determine the incidental rate of renal impairment among elderly women with fractures who reported to the Orthopaedic OPD at a tertiary care Hospital. Methodology: This prospective cohort study was done at Orthopaedic department and OPD Fauji Foundation Hospital, Rawalpindi during a period of one year from March 2022 to February 2023. A total of 147 females aged >60 years presented with Hip fractures, surgically managed and who had history of normal pre-fracture renal function were included. A 5ml blood sample was obtained and sent to the Hospital diagnostic laboratory to evaluate the renal profile, serum calcium and vitamin D levels. All the information was recorded via pre-structured study proforma. Results: The study enrolled 147 elderly participants with an average age of 66.82 years. Among the participants, 24 patients (16.3%) experienced Acute Kidney Injury (AKI), with 9.5% having stage-I AKI, 4.8% with stage II AKI, and 2.0% with stage III AKI. Before sustaining the hip fracture, the mean serum creatinine level was 67.04 µmol/L, and following the fracture, it increased to 81.95 µmol/L (p-value < 0.0001). The severity of AKI did not exhibit a statistically significant correlation with the age of the patients. However, there was a statistically significant increase in serum creatinine levels among patients based on the duration of their fractures (p-value < 0.001). Conclusion: The incidence of Acute Kidney Injury (AKI) in elderly patients following hip fractures was found to be 16.3%, with varying stages of severity.

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