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Impact of Renal Function on the Surgical Outcomes of Displaced Femoral Neck Fracture in Elderly Patients

Background: The aim of this study was to investigate the relationship between estimated glomerular filtration rate (eGFR) and outcomes of bipolar hemiarthroplasty for femoral neck fracture in elderly patients, and to compare postoperative complications and mortality among groups according to eGFR. M...

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Autores principales: Kwon, Hyuck Min, Lim, Suhan, Yang, Ick-Hwan, Lee, Woo-Suk, Jeon, Byeong Hun, Park, Kwan Kyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722621/
https://www.ncbi.nlm.nih.gov/pubmed/31374982
http://dx.doi.org/10.3390/jcm8081149
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author Kwon, Hyuck Min
Lim, Suhan
Yang, Ick-Hwan
Lee, Woo-Suk
Jeon, Byeong Hun
Park, Kwan Kyu
author_facet Kwon, Hyuck Min
Lim, Suhan
Yang, Ick-Hwan
Lee, Woo-Suk
Jeon, Byeong Hun
Park, Kwan Kyu
author_sort Kwon, Hyuck Min
collection PubMed
description Background: The aim of this study was to investigate the relationship between estimated glomerular filtration rate (eGFR) and outcomes of bipolar hemiarthroplasty for femoral neck fracture in elderly patients, and to compare postoperative complications and mortality among groups according to eGFR. Methods: A total of 181 patients who underwent bipolar hemiarthroplasty for displaced femoral neck fracture were divided into three groups according to eGFR. Data were retrospectively analyzed. Group 1 had 96 patients with eGFR greater than or equal to 60 mL/min/1.73 m(2); Group 2 had 54 patients with eGFR greater than or equal to 30 mL/min/1.73 m(2) and lower than 60 mL/min/1.73 m(2); and Group 3 had 31 patients with eGFR lower than 30 mL/min/1.73 m(2). Postoperative complications and mortality were compared between groups at a minimum 2-year follow-up. Results: Patients in Group 3 had the longest hospital stay of the three groups (p = 0.001). The rates of medical complications did not differ significantly among groups. However, Group 2 and 3 had higher rates of surgical complications (p = 0.001) and mortality (p = 0.043) than Group 1. Severe renal impairment was associated with increased risk of postoperative complications compared to mild renal impairment (odds ratio (95% confidence interval) = 4.33 (1.32–13.19), p = 0.015). Conclusion: Patients with moderate or severe decreased eGFR associated with chronic kidney disease (CKD) could have higher postoperative complications and mortality after bipolar hemiarthroplasty compared to patients with CKD stage 1 or 2.
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spelling pubmed-67226212019-09-10 Impact of Renal Function on the Surgical Outcomes of Displaced Femoral Neck Fracture in Elderly Patients Kwon, Hyuck Min Lim, Suhan Yang, Ick-Hwan Lee, Woo-Suk Jeon, Byeong Hun Park, Kwan Kyu J Clin Med Article Background: The aim of this study was to investigate the relationship between estimated glomerular filtration rate (eGFR) and outcomes of bipolar hemiarthroplasty for femoral neck fracture in elderly patients, and to compare postoperative complications and mortality among groups according to eGFR. Methods: A total of 181 patients who underwent bipolar hemiarthroplasty for displaced femoral neck fracture were divided into three groups according to eGFR. Data were retrospectively analyzed. Group 1 had 96 patients with eGFR greater than or equal to 60 mL/min/1.73 m(2); Group 2 had 54 patients with eGFR greater than or equal to 30 mL/min/1.73 m(2) and lower than 60 mL/min/1.73 m(2); and Group 3 had 31 patients with eGFR lower than 30 mL/min/1.73 m(2). Postoperative complications and mortality were compared between groups at a minimum 2-year follow-up. Results: Patients in Group 3 had the longest hospital stay of the three groups (p = 0.001). The rates of medical complications did not differ significantly among groups. However, Group 2 and 3 had higher rates of surgical complications (p = 0.001) and mortality (p = 0.043) than Group 1. Severe renal impairment was associated with increased risk of postoperative complications compared to mild renal impairment (odds ratio (95% confidence interval) = 4.33 (1.32–13.19), p = 0.015). Conclusion: Patients with moderate or severe decreased eGFR associated with chronic kidney disease (CKD) could have higher postoperative complications and mortality after bipolar hemiarthroplasty compared to patients with CKD stage 1 or 2. MDPI 2019-08-01 /pmc/articles/PMC6722621/ /pubmed/31374982 http://dx.doi.org/10.3390/jcm8081149 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kwon, Hyuck Min
Lim, Suhan
Yang, Ick-Hwan
Lee, Woo-Suk
Jeon, Byeong Hun
Park, Kwan Kyu
Impact of Renal Function on the Surgical Outcomes of Displaced Femoral Neck Fracture in Elderly Patients
title Impact of Renal Function on the Surgical Outcomes of Displaced Femoral Neck Fracture in Elderly Patients
title_full Impact of Renal Function on the Surgical Outcomes of Displaced Femoral Neck Fracture in Elderly Patients
title_fullStr Impact of Renal Function on the Surgical Outcomes of Displaced Femoral Neck Fracture in Elderly Patients
title_full_unstemmed Impact of Renal Function on the Surgical Outcomes of Displaced Femoral Neck Fracture in Elderly Patients
title_short Impact of Renal Function on the Surgical Outcomes of Displaced Femoral Neck Fracture in Elderly Patients
title_sort impact of renal function on the surgical outcomes of displaced femoral neck fracture in elderly patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722621/
https://www.ncbi.nlm.nih.gov/pubmed/31374982
http://dx.doi.org/10.3390/jcm8081149
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