ArticleClinical kidney journal2014
Incidence of acute kidney injury following total joint arthroplasty: a retrospective review by RIFLE criteria.
Article in Clinical kidney journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Physiologic Predictors of Postoperative Dialysis After Total Knee Arthroplasty.Orthopedic reviews · 2026Article
- Patient characteristics and adverse effects of allogeneic blood transfusion following lower extremity joint replacement in rheumatoid arthritis: a nationwide inpatient sample database study.BMC rheumatology · 2025Article
- Correlation of Novel Inflammation Index with Postoperative Acute Kidney Injury in Patients with Joint Arthroplasty: A Retrospective Cohort Study.Journal of inflammation research · 2025Article
- Article
- Total Hip Arthroplasty Outcomes in Patients with Gout: A Retrospective Analysis of Matched Large Cohorts.Clinics in orthopedic surgery · 2024Article
- Acute Kidney Injury After Total Hip and Knee Arthroplasty. What Is the Culprit?Arthroplasty today · 2024Article
- Effect of potential risk factors on renal functions in simultaneous bilateral total knee arthroplasty.Frontiers in surgery · 2024Article
- Association of N-terminal pro-B-type natriuretic peptide (NT-proBNP) and acute kidney disease in patients undergoing coronary angiography: a cohort study.International urology and nephrology · 2023Article
- Total hip arthroplasty complications in patients with chronic kidney disease: A comparison study.Journal of orthopaedics · 2023Article
- Comparing five equations to calculate estimated glomerular filtration rate to predict acute kidney injury following total joint arthroplasty.Arthroplasty (London, England) · 2023Article
- Post-operative complications of total knee arthroplasty in patients with hypertension.International orthopaedics · 2023Article
- Machine learning for acute kidney injury: Changing the traditional disease prediction mode.Frontiers in medicine · 2023Review
- Acute kidney injury after hip fracture surgery in patients over 80 years of age.Archives of orthopaedic and trauma surgery · 2022Article
- Acute kidney injury in patients undergoing elective primary lower limb arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Farewell from theClinical kidney journal · 2022Article
- Routine postoperative laboratory tests are not required in patients undergoing elective total shoulder arthroplasty.Annals of the Royal College of Surgeons of England · 2021Article
- Acute kidney injury risk in orthopaedic trauma patients pre and post surgery using a biomarker algorithm and clinical risk score.Scientific reports · 2020Article
- Occurrence and predictive factors of acute renal injury following hip and knee arthroplasty.Clinical and experimental nephrology · 2020Article
- Acute Deterioration of Kidney Function after Total Hip Arthroplasty.Malaysian orthopaedic journal · 2020Article
- Incidence and risk factors of acute kidney injury after total joint arthroplasty; a retrospective cohort study.Journal of clinical orthopaedics and trauma · 2020Article
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5 authors.
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Abstract
backgroundTotal joint arthroplasty (TJA) is a common procedure with demand for arthroplasties expected to increase exponentially. Incidence of acute kidney injury (AKI) following TJA is reportedly low, with most studies finding an incidence of <2%, increasing to 9% when emergency orthopaedic patients are included.
methodsRetrospective medical record review of consecutive primary, elective TJA procedures was undertaken at a large tertiary hospital (Alfred). Demographic, peri-operative and post-operative data were recorded. Factors associated with AKI (based on RIFLE criteria) were determined using multiple logistic regression.
resultsBetween January 2011 and June 2013, 425 patients underwent TJA; 252 total knee replacements (TKR) and 173 total hip replacements (THR). Sixty-seven patients (14.8%) developed AKI, including 51 TKR. Factors associated with AKI (adjusting for known confounders) include increasing body mass index [adjusted odds ratio (AOR) 1.14; 95% CI: 1.07, 1.21], older age (AOR 1.07; 95% CI 1.02, 1.13) and lower pre-operative glomerular filtration rate (AOR 0.97; 95% CI 0.96, 0.99) and taking angiotensin-converting enzyme inhibitors (AOR 2.70; 95% CI 1.12, 6.48) and angiotensin-II receptor blockers (AOR 2.64; 95% CI 1.18, 5.93). In most patients, AKI resolved by discharge, however, only 62% of patients had renal function tests after discharge.
conclusionsThis study showed a rate of AKI of nearly 15% in our TJA population, substantially higher than previously reported. Given that AKI and long-term complications are associated, prospective research is needed to further understand the associated factors and predict those at risk of AKI. There may be opportunities to maximize the pre-operative medical management and mitigate risk.
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