ArticleAnnals of the Royal College of Surgeons of England2017
Acute kidney injury following primary hip and knee arthroplasty surgery.
Article in Annals of the Royal College of Surgeons of England, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 39 citations in OpenAlex.
- 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
- Reevaluating the Necessity of Performing Routine Laboratory Tests in the First Week After Joint Replacement Surgery.Cureus · 2026Article
- Predictors of Acute Kidney Injury in Older Adults With Extracapsular Hip Fractures.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Hyponatraemia, AKI, and urinary retention following elective joint arthroplasty.BMC nephrology · 2025Article
- Perioperative Outcomes of Simultaneous Bilateral Total Knee Arthroplasty in Elderly Indian Patients: A Retrospective Study.Journal of orthopaedic case reports · 2025Article
- Risk Factors for Acute Kidney Injury in Patients Undergoing Total Joint Arthroplasty.Reports (MDPI) · 2024Article
- Effect of potential risk factors on renal functions in simultaneous bilateral total knee arthroplasty.Frontiers in surgery · 2024Article
- Comparing five equations to calculate estimated glomerular filtration rate to predict acute kidney injury following total joint arthroplasty.Arthroplasty (London, England) · 2023Article
- Reducing incidence of postoperative acute kidney injury in trauma and orthopaedics patients: a quality improvement project.BMJ open quality · 2023Article
- Incidence and risk factors for acute kidney injury after total joint arthroplasty.Arthroplasty (London, England) · 2022Article
- Acute kidney injury in patients undergoing elective primary lower limb arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- A web-based machine-learning algorithm predicting postoperative acute kidney injury after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Occurrence and predictive factors of acute renal injury following hip and knee arthroplasty.Clinical and experimental nephrology · 2020Article
- Clinical outcome evaluation of intraosseous vancomycin in total knee arthroplasty.Arthroplasty today · 2020Article
- Acute kidney injury after primary total hip arthroplasty: a risk multiplier for complication, mortality, and healthcare utilization.Arthritis research & therapy · 2020Article
- Impact of Dexmedetomidine Infusion on Postoperative Acute Kidney Injury in Elderly Patients Undergoing Major Joint Replacement: A Retrospective Cohort Study.Drug design, development and therapy · 2020Article
- Acute kidney injury is associated with increased healthcare utilization, complications, and mortality after primary total knee arthroplasty.Therapeutic advances in musculoskeletal disease · 2020Article
- Surgical complications associated with congestive heart failure in elderly patients following primary hip hemiarthroplasty for femoral neck fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
- Acute Kidney Injury in Patients Undergoing Total Hip Arthroplasty: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2019Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Acute kidney injury (AKI) is a recognised postoperative complication following primary hip/knee arthroplasty surgery. The aim of this study was to determine causative and potentially modifiable risk factors associated with postoperative AKI. Standard data were collected for 413 consecutive arthroplasty patients, both retrospectively and prospectively. Univariate and multivariate analyses were performed to identify any potential causative factors. Eight percent of patients developed postoperative AKI. Univariate analysis found increasing age, history of previous chronic kidney disease and requirement for postoperative intravenous fluids to be risk factors for AKI. The multivariate regression analysis model identified age and volume of postoperative fluid prescription as predictive of postoperative AKI. Antibiotic regime and prescription of non-steroidal anti-inflammatory drugs had no significant effect on the risk of AKI. No patients required dialysis but length of stay increased by 50% in the AKI group. Postoperative AKI may result in significant postoperative morbidity and increased length of stay, and may necessitate invasive therapies such as dialysis. Episodes of AKI could also predispose to future similar episodes and are associated with a long-term decrease in baseline renal function. This study has demonstrated that the identified risk factors are generally non-modifiable. Further work is suggested to determine whether targeted interventions in high risk patients would reduce the incidence of AKI.
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