ArticleArthritis research & therapy2020
Acute kidney injury after primary total hip arthroplasty: a risk multiplier for complication, mortality, and healthcare utilization.
Article in Arthritis research & therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 16 citations in OpenAlex.
- Physiologic Predictors of Postoperative Dialysis After Total Knee Arthroplasty.Orthopedic reviews · 2026Article
- Factors and outcomes associated with acute kidney injury in brain tumor resection patients: insights from a large US database (2010-2019).Renal failure · 2025Article
- Transparent AI-driven personalized risk prediction system for acute kidney injury after total hip arthroplasty.Scientific reports · 2025Article
- Hyponatraemia, AKI, and urinary retention following elective joint arthroplasty.BMC nephrology · 2025Article
- Risk Factors for Acute Kidney Injury in Patients Undergoing Total Joint Arthroplasty.Reports (MDPI) · 2024Article
- Impact of diabetic kidney disease on post-operative complications after primary elective total hip arthroplasty: a nationwide database analysis.BMC musculoskeletal disorders · 2024Article
- Factors that influence the mortality of patients following hip hemiarthroplasty.Arthroplasty (London, England) · 2024Article
- Acute Kidney Injury After Total Hip and Knee Arthroplasty. What Is the Culprit?Arthroplasty today · 2024Article
- 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
- Prediction of acute kidney injury in patients with femoral neck fracture utilizing machine learning.Frontiers in surgery · 2022Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess whether acute kidney injury (AKI) is associated with more complications and higher healthcare utilization in people undergoing primary total hip arthroplasty (THA).
methodsUsing a retrospective cohort study design, we performed multivariable-adjusted logistic regression of the 1998-2014 US National Inpatient Sample data to assess the association of AKI with complications (infection, transfusion, revision, and mortality) and healthcare utilization (total hospital charges, discharge to a rehabilitation facility, length of hospital stay) post-THA. We calculated the odds ratio (OR) and 95% confidence intervals (CI).
resultsAdjusted for age, gender, race, income, underlying diagnosis, medical comorbidity, and the insurance payer, AKI in people who underwent primary THA was associated with significantly higher OR (95% CI) of (1) implant infection, 2.34 (95% CI, 1.87, 2.93); (2) transfusion, 2.46 (95% CI, 2.37, 2.56); (3) revision, 2.54 (95% CI, 2.16, 2.98); (4) death, 8.52 (95% CI, 7.47, 9.73); (5) total hospital charges above the median, 2.29 (95% CI, 1.99, 2.65); (6) discharge to a rehabilitation facility, 2.11 (95% CI, 2.02, 2.20); and (7) hospital stay > 3 days, 4.34 (95% CI, 4.16, 4.53).
conclusionQuality improvement initiatives with optimization of the peri-operative care to reduce AKI and subsequently AKI-associated complications and healthcare utilization are needed. Mechanisms of AKI-associated post-THA complications need further examination.
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