ArticleGeriatric orthopaedic surgery & rehabilitation2012
Risk factors for acute kidney injury after hip fracture surgery in the elderly individuals.
Article in Geriatric orthopaedic surgery & rehabilitation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
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Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.
- The incidence and influencing factors of postoperative acute kidney injury in elderly patients with hip fractures: A meta-analyses.PloS one · 2025Pooled it
- The prevalence and risk factors of acute kidney injury in patients undergoing hip fracture surgery: a meta-analysis.Bioengineered · 2021Pooled it
- Effects of Sevoflurane Versus Propofol Total Intravenous Anaesthesia on Renal Function in Elderly Patients Undergoing Hip Fracture Surgery: A Randomised Controlled Trial.Drug design, development and therapy · 2025Trial
- Cranberry juice concentrate does not significantly decrease the incidence of acquired bacteriuria in female hip fracture patients receiving urine catheter: a double-blind randomized trial.Clinical interventions in aging · 2017Trial
- Association of acute kidney injury stages with in-hospital and long-term mortality in older adults with hip fractures.Annals of medicine · 2026Article
- Predictors of immobility following surgery for periprosthetic hip fractures.Archives of orthopaedic and trauma surgery · 2025Article
- Analysis of prognostic risk factors in critically ill elderly patients with sepsis-associated acute kidney injury.BMC nephrology · 2025Article
- Association Between Fracture Morphology and Preoperative Acute Kidney Injury in Patients with Intertrochanteric Fracture.Journal of clinical medicine · 2025Article
- Predictive value of the early postoperative hemoglobin-to-red blood cell distribution width ratio for acute kidney injury in elderly intertrochanteric fracture patients.BMC musculoskeletal disorders · 2024Article
- Sarcopenia, a Risk Predictor of Postoperative Acute Kidney Injury in Elderly Patients after Hip Fracture Surgery: A Retrospective Analysis.Medicina (Kaunas, Lithuania) · 2024Article
- A multi-national survey to identify health professionals' opinions for the appropriate frequency of urine output monitoring in post-operative patients.Journal of the Intensive Care Society · 2024Article
- Preoperative and intraoperative risk factors for acute kidney injury after hip fracture surgery: a cohort retrospective study.Renal failure · 2023Article
- Trauma-related acute kidney injury during inpatient care of femoral fractures increases the risk of mortality: A claims data analysis.American journal of medicine open · 2022Article
- Acute kidney injury after hip fracture surgery in patients over 80 years of age.Archives of orthopaedic and trauma surgery · 2022Article
- Acute kidney injury after major orthopedic surgery: A retrospective study of frequency and related risk factors.Acta orthopaedica et traumatologica turcica · 2022Article
- Comparison of Short, Intermediate, and Long Cephalomedullary Nail Length Outcomes in Elderly Intertrochanteric Femur Fractures.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Prediction of acute kidney injury in patients with femoral neck fracture utilizing machine learning.Frontiers in surgery · 2022Article
- Immunopathophysiology of trauma-related acute kidney injury.Nature reviews. Nephrology · 2021Review
- Incidence, Risk-Factors and Associated Mortality of Complications in Orthogeriatric Co-Managed Inpatients.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Observational
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe aimed to evaluate possible risk factors assocıated wıth acute kidney injury (AKI) after hip fracture surgery in the elderly individuals.
designLevel II diagnostic study, evidence obtained from prospective cohort study from 1 center with level 2, and 3 patients. PATIENTS: A total of 165 patients (>65 years) with femoral neck fracture were enrolled in this prospective study between 2007 and 2010. Two patients were dropped for inadequate laboratory follow-up data. Patients with kidney failure or renal replacement therapy (RRT) history or AKI at admission were excluded.
interventionNephrology consultation was obtained from all patients at admission. All patients had undergone bipolar cemented hip arthroplasty that was performed by the same surgical team in all patients within 24 hours of fracture and admission under the same protocol. MAIN OUTCOME MEASUREMENTS: Serum creatinine (SCr), urine output, and complete blood counts were evaluated at baseline and daily basis thereafter. The AKI was defined based on Acute Kidney Injury Network classification. Hospital charges were converted from Turkish Liras to US dollars and rounded.
resultsAmong 163 patients, AKI occurred in 25 (15.3%) patients, all within the first 48 postoperative hours. Three (1.8%) patients required RRT. Baseline SCr levels were restored within 4.84 ± 1.34 days on average (3-8 days). No patient required RRT after discharge. The mean hospital stay was 3 days (2-6 days) longer and the hospital charge was 2500 US$ higher for the patients with AKI. After multivariable adjustment, only lower estimated glomerular filtration rate levels (odds ratio 0.945, 95%confidence interval 0.92-0.96) emerged as an independent predictor for AKI.
conclusionThe AKI represents a frequent complication after hip fracture surgery associated with longer hospital stay and higher treatment costs with increased morbidity. Our results show baseline renal function is an independent predictor of AKI.
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