ArticleCureus2024
Acute Kidney Injury Post Hip Fracture Surgery: Local Quality Improvement Project and Review of Literature.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The incidence and influencing factors of postoperative acute kidney injury in elderly patients with hip fractures: A meta-analyses.PloS one · 2025Pooled it
- Fracture Type Modifies the Prognostic Impact of Acute Kidney Injury on In-Hospital Mortality after Hip Fracture Surgery in Elderly Patients: A Retrospective Cohort Study with Risk Stratification.Geriatric orthopaedic surgery & rehabilitation · 2026Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of the study is to identify the potential risk factors for postoperative AKI in hip fracture patients. DESIGN AND
methodsUsing our local neck of femur (NOF) registration data, patient details were selected using inclusion and exclusion criteria. Electronic records of patients were assessed retrospectively, including blood results, radiological investigations, clinical documentation, and drug charts. The time period was from the start of January 2022 to the end of June 2022. INCLUSION CRITERIA: All patients > 50 years old with NOF fractures underwent operative management from January 2022 to June 2022. EXCLUSION CRITERIA: 1. Pathological fractures. 2. Non-operative management. 3. Died directly postoperative.
resultsTwo hundred and fifty patients underwent hip fracture surgery at our hospital in 6 months (January 2022-June 2022) (Cemented procedures were 133 [53%], while fixation procedures were 117 [47%]). Female patients were 174 (70%), and male patients were 76. The average age was 83.4 years, and the number of operations done over the weekend (Friday-Sunday) = 123 (49%). The incidence of postoperative AKI was 56 (22.4%). Forty-five of the fifty-six cases were stage one (80.4%), while seven cases (12.5%) were stage 2. The studied risk factors for postoperative AKI were cemented procedures (61% of postoperative AKI incidence), female gender (66%), time from admission to operation (>24 hours = 33%), day of operation (operations done Friday/Saturday/Sunday = 55%), and postoperative antibiotics (71%).
conclusionWe need strategies to reduce the incidence of postoperative AKI, like AKI alert on laboratory results, IV fluid prescription preoperatively since the arrival of patients to the ED, avoiding/stopping nephrotoxic medications on admission, regular review of postoperative renal function tests and fluid balance, especially in high-risk patients, increase nursing staff and junior doctors on wards over weekends, and we need to review our policy of giving postoperative IV antibiotics.
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