Acute kidney injury in patients undergoing elective primary lower limb arthroplasty

Purpose Recent research has outlined the increasing incidence of acute kidney injury (AKI) and its effect on morbidity/mortality. There is evidence that current rates are significantly under-reported nationally, with uncertainty about pre-operative factors that might influence AKI reduction and the...

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Published in:European journal of orthopaedic surgery & traumatology 2022-05, Vol.32 (4), p.661-665
Main Authors: Farrow, Luke, Smillie, Stacey, Duncumb, Joseph, Chan, Brian, Cranfield, Karen, Ashcroft, George, Stevenson, Iain
Format: Article
Language:English
Subjects:
Acute Kidney Injury - epidemiology
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Knee - adverse effects
Diabetes
Diabetes Mellitus - epidemiology
Female
Humans
Joint surgery
Kidney diseases
Kidneys
Lower Extremity
Male
Medicine
Medicine & Public Health
Mortality
Original
Original Article
Renal Insufficiency, Chronic - epidemiology
Retrospective Studies
Surgical Orthopedics
Traumatic Surgery
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Summary:Purpose Recent research has outlined the increasing incidence of acute kidney injury (AKI) and its effect on morbidity/mortality. There is evidence that current rates are significantly under-reported nationally, with uncertainty about pre-operative factors that might influence AKI reduction and the impact on other healthcare outcomes such as mortality and later Chronic Kidney Disease (CKD) development. We set out to help address these current deficiencies in the literature. Methods A retrospective cohort study was undertaken using data collected from patients undergoing elective primary lower limb arthroplasty within our institution from 01/10/16–31/09/17 with a 2-year follow-up. Results 53/782 (6.8%) patients had an AKI during the study time period. This was associated with a longer inpatient stay ( p  
ISSN:1432-1068
1633-8065
1432-1068
DOI:10.1007/s00590-021-03024-x