Cargando…

Acute kidney injury after major orthopedic surgery: A retrospective study of frequency and related risk factors

OBJECTIVE: This study aimed to analyze the frequency of postoperative kidney injury, the related factors, and its effect on outcomes in major orthopedic surgery cases treated in the postanesthesia intensive care unit (PACU). METHODS: Major orthopedic surgery cases treated in the PACU were included i...

Descripción completa

Detalles Bibliográficos
Autores principales: Hancı, Volkan, Özbilgin, Şule, Başçı, Onur, Ömür, Dilek, Boztaş, Nilay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9612670/
https://www.ncbi.nlm.nih.gov/pubmed/35968622
http://dx.doi.org/10.5152/j.aott.2022.22048
_version_ 1784819827532103680
author Hancı, Volkan
Özbilgin, Şule
Başçı, Onur
Ömür, Dilek
Boztaş, Nilay
author_facet Hancı, Volkan
Özbilgin, Şule
Başçı, Onur
Ömür, Dilek
Boztaş, Nilay
author_sort Hancı, Volkan
collection PubMed
description OBJECTIVE: This study aimed to analyze the frequency of postoperative kidney injury, the related factors, and its effect on outcomes in major orthopedic surgery cases treated in the postanesthesia intensive care unit (PACU). METHODS: Major orthopedic surgery cases treated in the PACU were included in this study retrospectively. Demographic, operation, and anesthesia characteristics, CCI, ASA risk classes, preoperative biochemistry, and hemogram results of the patients were recorded. Postoperative serum creatinine level, urine output, renal replacement therapy requirement, and hemoglobin levels were recorded. The kidney damage of the patients was evaluated with RIFLE and AKIN criteria. Postoperative complications were recorded. RESULTS: The frequency of kidney injury in the early postoperative period was 7.1%. When only arthroplasty cases were taken, the frequency was 11%. It was determined that there was a correlation between preoperative ASA, CCI, BMI, K levels, lactate levels, and postoperative kidney damage (P  < 0.05). It was determined that the frequency and duration of inotropic use, the frequency and duration of noninvasive mechanical ventilation, and the duration of hospitalization increased in patients with postoperative kidney damage, and the frequency of pneumonia, wound infection, atelectasis, sepsis, arrhythmia, atrial fibrillation and mortality increased in the postoperative period (P  < 0.05). CONCLUSION: There is a need for further studies on the relationship between ASA, CCI, BMI, K, and lactate values and postoperative kidney damage. Postoperative kidney injury is associated with prolonged hospitalization and increased morbidity and mortality. LEVEL OF EVIDENCE: Level IV, Therapeutic Study
format Online
Article
Text
id pubmed-9612670
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology
record_format MEDLINE/PubMed
spelling pubmed-96126702022-11-04 Acute kidney injury after major orthopedic surgery: A retrospective study of frequency and related risk factors Hancı, Volkan Özbilgin, Şule Başçı, Onur Ömür, Dilek Boztaş, Nilay Acta Orthop Traumatol Turc Research Article OBJECTIVE: This study aimed to analyze the frequency of postoperative kidney injury, the related factors, and its effect on outcomes in major orthopedic surgery cases treated in the postanesthesia intensive care unit (PACU). METHODS: Major orthopedic surgery cases treated in the PACU were included in this study retrospectively. Demographic, operation, and anesthesia characteristics, CCI, ASA risk classes, preoperative biochemistry, and hemogram results of the patients were recorded. Postoperative serum creatinine level, urine output, renal replacement therapy requirement, and hemoglobin levels were recorded. The kidney damage of the patients was evaluated with RIFLE and AKIN criteria. Postoperative complications were recorded. RESULTS: The frequency of kidney injury in the early postoperative period was 7.1%. When only arthroplasty cases were taken, the frequency was 11%. It was determined that there was a correlation between preoperative ASA, CCI, BMI, K levels, lactate levels, and postoperative kidney damage (P  < 0.05). It was determined that the frequency and duration of inotropic use, the frequency and duration of noninvasive mechanical ventilation, and the duration of hospitalization increased in patients with postoperative kidney damage, and the frequency of pneumonia, wound infection, atelectasis, sepsis, arrhythmia, atrial fibrillation and mortality increased in the postoperative period (P  < 0.05). CONCLUSION: There is a need for further studies on the relationship between ASA, CCI, BMI, K, and lactate values and postoperative kidney damage. Postoperative kidney injury is associated with prolonged hospitalization and increased morbidity and mortality. LEVEL OF EVIDENCE: Level IV, Therapeutic Study Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology 2022-07-01 /pmc/articles/PMC9612670/ /pubmed/35968622 http://dx.doi.org/10.5152/j.aott.2022.22048 Text en 2022 authors https://creativecommons.org/licenses/by-nc/4.0/ Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Research Article
Hancı, Volkan
Özbilgin, Şule
Başçı, Onur
Ömür, Dilek
Boztaş, Nilay
Acute kidney injury after major orthopedic surgery: A retrospective study of frequency and related risk factors
title Acute kidney injury after major orthopedic surgery: A retrospective study of frequency and related risk factors
title_full Acute kidney injury after major orthopedic surgery: A retrospective study of frequency and related risk factors
title_fullStr Acute kidney injury after major orthopedic surgery: A retrospective study of frequency and related risk factors
title_full_unstemmed Acute kidney injury after major orthopedic surgery: A retrospective study of frequency and related risk factors
title_short Acute kidney injury after major orthopedic surgery: A retrospective study of frequency and related risk factors
title_sort acute kidney injury after major orthopedic surgery: a retrospective study of frequency and related risk factors
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9612670/
https://www.ncbi.nlm.nih.gov/pubmed/35968622
http://dx.doi.org/10.5152/j.aott.2022.22048
work_keys_str_mv AT hancıvolkan acutekidneyinjuryaftermajororthopedicsurgeryaretrospectivestudyoffrequencyandrelatedriskfactors
AT ozbilginsule acutekidneyinjuryaftermajororthopedicsurgeryaretrospectivestudyoffrequencyandrelatedriskfactors
AT bascıonur acutekidneyinjuryaftermajororthopedicsurgeryaretrospectivestudyoffrequencyandrelatedriskfactors
AT omurdilek acutekidneyinjuryaftermajororthopedicsurgeryaretrospectivestudyoffrequencyandrelatedriskfactors
AT boztasnilay acutekidneyinjuryaftermajororthopedicsurgeryaretrospectivestudyoffrequencyandrelatedriskfactors