Chronic kidney disease and acute kidney injury in arthroplasty patients over 65 years of age

Background The purpose of this study was to evaluate the prevalence of chronic kidney disease (CKD) and the incidence of perioperative acute kidney injury (AKI) in primary arthroplasty patients over 65 years of age. Risk factors, perioperative events and the outcome of surgery were evaluated. Method...

Full description

Saved in:
Bibliographic Details
Published in:Acta anaesthesiologica Scandinavica 2019-08, Vol.63 (7), p.859-870
Main Authors: Nikkinen, Okke, Nieminen, Teemu, Alahuhta, Seppo, Ohtonen, Pasi, Vakkala, Merja
Format: Article
Language:English
Subjects:
acute kidney injury
Arthroplasty
Biomedical materials
chronic kidney disease
Creatinine
Diabetes
Diabetes mellitus
Emergencies
Epidemiology
Epidermal growth factor receptors
estimated glomerular filtration rate
Glomerular filtration rate
Health risks
hip arthroplasty
Incidence
Joint surgery
KDIGO
Kidney diseases
Kidneys
knee arthroplasty
Patients
Risk allocation
Risk analysis
Risk factors
Surgery
Surgical implants
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background The purpose of this study was to evaluate the prevalence of chronic kidney disease (CKD) and the incidence of perioperative acute kidney injury (AKI) in primary arthroplasty patients over 65 years of age. Risk factors, perioperative events and the outcome of surgery were evaluated. Methods This retrospective, hospital register‐based study consists of patients operated in 2014 in the area of Oulu, Finland. The estimated glomerular filtration rate (eGFR) was calculated using the Chronic Kidney Disease Epidemiology Collaboration formula. The incidence of AKI was evaluated based on the serum creatinine criteria of the KDIGO (Kidney Disease, Improving Global Outcomes) classification. Results Of the 807 patients, 60.8% had mildly decreased (60‐89 ml/min/1.73 m2) and 13.5% moderately to severely decreased eGFR (
ISSN:0001-5172
1399-6576
DOI:10.1111/aas.13352