ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2021
Preoperative estimated glomerular filtration rate is a marker for postoperative complications following aseptic revision total hip arthroplasty.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Risk Factors for Cardiac Complications Following Primary Total Knee Arthroplasty: A National Database Analysis.Clinics in orthopedic surgery · 2025Article
- A SHAP-interpretable machine learning framework for predicting delayed discharge in ambulatory total knee arthroplasty: comparative validation of 14 models.Frontiers in medicine · 2025Article
- The effect of smoking on 30-day complications following primary repair of Achilles tendon ruptures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- The Association between Bleeding Disorders and Postoperative Complications Following Operative Treatment of Distal Radius Fracture.Journal of wrist surgery · 2023Article
- Diabetes status and postoperative complications for patients receiving open rotator cuff repair.Shoulder & elbow · 2023Article
- The association between diabetes status and postoperative complications for patients receiving ACL reconstruction.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Extended length of stay in diabetic octogenarians following revision total hip arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Thirty-day morbidity and mortality following revision total shoulder arthroplasty in octogenarians.Shoulder & elbow · 2022Article
- Chronic obstructive pulmonary disease is an independent risk factor for postoperative complications following operative treatment of distal radius fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Evaluating the Association between Anesthesia Type and Postoperative Complications for Patients Receiving Total Ankle Arthroplasty.The Iowa orthopaedic journal · 2022Article
- Extended length of stay and postoperative complications in octogenarians with hypertension following revision total knee arthroplasty.Journal of clinical orthopaedics and trauma · 2022Article
- Evaluation of Four eGFR Calculating Formulae in Predicting Postoperative Acute Kidney Injury in Adult Patients Undergoing Open-Heart Surgery with Cardiopulmonary Bypass.Contrast media & molecular imaging · 2022Article
- A retrospective study evaluating the association between hypoalbuminemia and postoperative outcomes for patients receiving open rotator cuff repair.Journal of orthopaedicsArticle
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9 authors.
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Abstract
introductionRevision total hip arthroplasty (rTHA) is increasingly performed but may carry a high rate of complication. This aim of the study was to determine if a decreased eGFR increases risks of postoperative complications following rTHA.
methodsA retrospective cohort study using the American College of Surgeons National Quality Improvement Program Database was conducted. Patients undergoing rTHA between 2007 and 2014 were identified and stratified by glomerular filtration rates (eGFR): eGFR > 125 mL/min, eGFR 90-125 mL/min, eGFR 60-90 mL/min, eGFR 30-60 mL/min, and eGFR < 30 mL/min. The incidence of postoperative adverse events within 30 days, including cardiac, pulmonary, renal, septic, thromboembolic, urinary tract, and wound complications, blood transfusion, death, length of stay > 7 days, and unplanned return to the operating room, was assessed. The complication rates following rTHA were assessed with univariate and multivariate analysis with a significance set at p < 0.05.
resultsIn total, 8898 revision THA procedures were included for analysis. 28.4% of patients that underwent rTHA developed a complication following surgery. Following adjustment, an eGFR of less than 30 mL/min independently increased the odds of any complication (OR 1.447; 95% C.I. 1.010-2.074; p = 0.044), cardiac complications (OR 3.344; 95% C.I. 1.040-10.752; p = 0.043), blood transfusion (O.R. 1.623; 95% C.I. 1.122-2.352; p = 0.010), and extended length of stay (O.R. 2.392; 95% C.I. 1.526-3.759; p < 0.001) when compared to normal renal function.
conclusionsDiminished eGFR of less than 30 mL/min increased the odds of total complications, cardiac complications, blood transfusions, and extended length of stay compared to normal renal function.
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