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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2019 | Anemia | Research article

Prevalence and risk factors for perioperative complications of CKD patients undergoing elective hip surgery

Authors: Yongqing You, Yijian Zhang, Lei Qiang, Ye Sun, Junxin Zhang, Emily Bou, Moqi Yan, Kerong Dai, Muliang Ding

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2019

Abstract

Purpose

Chronic kidney disease (CKD) is known to increase morbidity and mortality after orthopedic surgery. The purpose of this study is to investigate how CKD affects perioperative complications in hip surgery patients.

Material and methods

From 2013 to 2016, a total of 230 patients (30 patients with CKD and 200 without CKD) undergoing hip surgery were enrolled in this study. Preoperative, intraoperative, and postoperative data was collected and analyzed between CKD and non-CKD patients. Logistic regression was used to evaluate the independent risk factor for postoperative complications.

Results

There were significant differences in the number of people with hypertension (90.0% vs 27.3%, P < 0.001), diabetes (33.3% vs 8.7%, P = 0.01), coronary heart disease (20.0% vs 2.0%, P = 0.001), smoking habits (56.7% vs 22.7%, P = 0.016), anemia (90.0% vs 19.3%, P < 0.001), and low hemoglobin levels (94.1 ± 19.7 vs 121.3 ± 18.8, P < 0.001) between CKD and non-CKD patients before surgery. Receiving a blood transfusion was significantly more common in CKD patients (50% vs 28.5%, P = 0.018). Postoperatively, significant differences were detected in the average number of patients who transferred to the ICU (73.3% vs 19.3%, P < 0.001). Furthermore, differences were found in the quantity of hemoglobin (92.5 ± 16.8 vs 107.5 ± 18.3, P < 0.001) and albumin (32.4 ± 4.1 vs 34.9 ± 5.5, P = 0.02) measured between CKD and non-CKD patients. Logistic regression analysis indicated that diabetes, alcohol, and anemia were all independent risk factors for obtaining a blood transfusion, while age, CKD, and osteoporosis were all independent risk factors for ICU transfers.

Conclusion

Compared with non-CKD patients, CKD patients were accompanied with more cardiac diseases preoperatively. In addition, CKD patients were more likely to receive a blood transfusion and transfer to the ICU after hip surgery. Preoperative anemia should be restored sufficiently to decrease the incidence of blood transfusions.

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Title: Prevalence and risk factors for perioperative complications of CKD patients undergoing elective hip surgery
Authors: Yongqing You
Yijian Zhang
Lei Qiang
Ye Sun
Junxin Zhang
Emily Bou
Moqi Yan
Kerong Dai
Muliang Ding
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Anemia
Osteoporosis
Osteoporosis
Chronic Kidney Disease
Hip-TEP
Hip-TEP
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2019
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-019-1118-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Prevalence and risk factors for perioperative complications of CKD patients undergoing elective hip surgery

Abstract

Purpose

Material and methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Material and methods

Results

Conclusion

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