Acute renal dysfunction following hip fracture

被引：73

作者：

Bennet, Simon J. ^{[1
]}

Berry, Olivia M. B.

Goddard, Jane ^{[2
]}

Keating, John F. ^{[3
]}

机构：

[1] Cheltenham Gen Hosp, Dept Trauma & Orthopaed Surg, Cheltenham GL53 7AN, Glos, England

[2] Royal Infirm Edinburgh Little France, Dept Renal Med, Edinburgh EH16 4SU, Midlothian, Scotland

[3] Royal Infirm, Dept Orthopaed Trauma, Edinburgh EH16 4SU, Midlothian, Scotland

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2010年 / 41卷 / 04期

关键词：

Hip fracture; Acute renal failure; Renal dysfunction; Mortality; Morbidity; RANDOMIZED CONTROLLED-TRIAL; HOSPITAL STAY; OPTIMIZATION; MORTALITY; RISK;

D O I：

10.1016/j.injury.2009.07.009

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

We investigated the incidence, risk factors and outcome of acute renal dysfunction (ARD) in patients with a fractured neck of femur. 170 consecutive patients were prospectively included in the Scottish Hip Fracture Audit database and retrospectively analysed. Historically, lack of consensus definition has hindered accurate reporting of ARD. ARD was defined using the 'RIFLE' criteria. 27 patients (16%) developed ARD. Risk factors were male sex, vascular disease, hypertension, diabetes, chronic kidney disease and pre-morbid use of nephrotoxic medications (p < 0.01). Inpatient, 30- and 120-day mortality was higher in the ARD group 19%, 22% and 41% respectively, versus 0%, 4% and 13% in the non-ARD group (p < 0.01). Length of hospital stay was significantly longer in the ARD group. Pre- and post-operative complications were 12 and 5 times more frequent respectively in the ARD group (p < 0.01). Awareness of risk factors and serial measurements of renal function allow early identification and focused monitoring of these patients. (C) 2009 Elsevier Ltd. All rights reserved.

引用

页码：335 / 338

页数：4

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