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Survivorship and Complications after Hip Fracture Surgery in Patients with Chronic Kidney Disease

The aim of this study was to investigate survival rate, complications and associated risk factors after hip fracture surgery in patients with chronic kidney disease (CKD) by comparing to non-CKD patients. A total of 119 patients (130 hips, 63 hips CKD group, 67 hips non-CKD) who underwent hip fractu...

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Autores principales: Suh, You-Sung, Won, Sung Hun, Choi, Hyung-Suk, Lee, Jae Chul, Chun, Dong-il, Nho, Jae-Hwi, Lee, Hwan-Woong, Kim, Jin Hyeung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680505/
https://www.ncbi.nlm.nih.gov/pubmed/29115088
http://dx.doi.org/10.3346/jkms.2017.32.12.2035
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author Suh, You-Sung
Won, Sung Hun
Choi, Hyung-Suk
Lee, Jae Chul
Chun, Dong-il
Nho, Jae-Hwi
Lee, Hwan-Woong
Kim, Jin Hyeung
author_facet Suh, You-Sung
Won, Sung Hun
Choi, Hyung-Suk
Lee, Jae Chul
Chun, Dong-il
Nho, Jae-Hwi
Lee, Hwan-Woong
Kim, Jin Hyeung
author_sort Suh, You-Sung
collection PubMed
description The aim of this study was to investigate survival rate, complications and associated risk factors after hip fracture surgery in patients with chronic kidney disease (CKD) by comparing to non-CKD patients. A total of 119 patients (130 hips, 63 hips CKD group, 67 hips non-CKD) who underwent hip fracture surgery were included. We assessed variables including age, gender, CKD, comorbidities, operation delay and operation time as risk factors for survival and complications after hip fracture surgery. The survival rate was 55.8% at 1-year, 45.8% at 3-year, and 31.4% at 5-year in CKD group, whereas 82.1%, 60.7%, and 36.8%, respectively in non-CKD. Age (more than 85) (hazard ratio [HR], 3.238; 95% confidence interval [CI], 1.736–6.042; P < 0.001), stages 4, 5 of CKD (HR, 2.004; 95% CI, 1.170–3.433; P = 0.001), cerebrovascular disease (HR, 2.213; 95% CI, 1.196–4.095; P = 0.001), and malignancy (HR, 3.086; 95% CI, 1.553–6.129; P = 0.001) were significant risk factors. Complications occurred in 17 hips of CKD group and 8 hips of non-CKD. Stage 4–5 of CKD (odds ratio [OR], 3.401; 95% CI, 1.354–8.540; P = 0.001), malignancy (OR, 3.184; 95% CI, 0.984–10.301; P = 0.050) were significant risk factor. When performing hip fracture surgery in patients with CKD, surgeons should consider age, severity of CKD, and presence of other comorbid disease, such as cerebrovascular disease and malignancy, as patients with these risk factors will need more intensive preoperative and postoperative care.
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spelling pubmed-56805052017-12-01 Survivorship and Complications after Hip Fracture Surgery in Patients with Chronic Kidney Disease Suh, You-Sung Won, Sung Hun Choi, Hyung-Suk Lee, Jae Chul Chun, Dong-il Nho, Jae-Hwi Lee, Hwan-Woong Kim, Jin Hyeung J Korean Med Sci Original Article The aim of this study was to investigate survival rate, complications and associated risk factors after hip fracture surgery in patients with chronic kidney disease (CKD) by comparing to non-CKD patients. A total of 119 patients (130 hips, 63 hips CKD group, 67 hips non-CKD) who underwent hip fracture surgery were included. We assessed variables including age, gender, CKD, comorbidities, operation delay and operation time as risk factors for survival and complications after hip fracture surgery. The survival rate was 55.8% at 1-year, 45.8% at 3-year, and 31.4% at 5-year in CKD group, whereas 82.1%, 60.7%, and 36.8%, respectively in non-CKD. Age (more than 85) (hazard ratio [HR], 3.238; 95% confidence interval [CI], 1.736–6.042; P < 0.001), stages 4, 5 of CKD (HR, 2.004; 95% CI, 1.170–3.433; P = 0.001), cerebrovascular disease (HR, 2.213; 95% CI, 1.196–4.095; P = 0.001), and malignancy (HR, 3.086; 95% CI, 1.553–6.129; P = 0.001) were significant risk factors. Complications occurred in 17 hips of CKD group and 8 hips of non-CKD. Stage 4–5 of CKD (odds ratio [OR], 3.401; 95% CI, 1.354–8.540; P = 0.001), malignancy (OR, 3.184; 95% CI, 0.984–10.301; P = 0.050) were significant risk factor. When performing hip fracture surgery in patients with CKD, surgeons should consider age, severity of CKD, and presence of other comorbid disease, such as cerebrovascular disease and malignancy, as patients with these risk factors will need more intensive preoperative and postoperative care. The Korean Academy of Medical Sciences 2017-12 2017-11-01 /pmc/articles/PMC5680505/ /pubmed/29115088 http://dx.doi.org/10.3346/jkms.2017.32.12.2035 Text en © 2017 The Korean Academy of Medical Sciences. https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Suh, You-Sung
Won, Sung Hun
Choi, Hyung-Suk
Lee, Jae Chul
Chun, Dong-il
Nho, Jae-Hwi
Lee, Hwan-Woong
Kim, Jin Hyeung
Survivorship and Complications after Hip Fracture Surgery in Patients with Chronic Kidney Disease
title Survivorship and Complications after Hip Fracture Surgery in Patients with Chronic Kidney Disease
title_full Survivorship and Complications after Hip Fracture Surgery in Patients with Chronic Kidney Disease
title_fullStr Survivorship and Complications after Hip Fracture Surgery in Patients with Chronic Kidney Disease
title_full_unstemmed Survivorship and Complications after Hip Fracture Surgery in Patients with Chronic Kidney Disease
title_short Survivorship and Complications after Hip Fracture Surgery in Patients with Chronic Kidney Disease
title_sort survivorship and complications after hip fracture surgery in patients with chronic kidney disease
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680505/
https://www.ncbi.nlm.nih.gov/pubmed/29115088
http://dx.doi.org/10.3346/jkms.2017.32.12.2035
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