Perioperative Management and Outcomes of Hip Fracture Patients with Advanced Chronic Kidney Disease.
chronic kidney disease
dialysis
frailty
hip fracture
peri-operative management
Journal
Geriatric orthopaedic surgery & rehabilitation
ISSN: 2151-4585
Titre abrégé: Geriatr Orthop Surg Rehabil
Pays: United States
ID NLM: 101558150
Informations de publication
Date de publication:
2022
2022
Historique:
received:
11
06
2022
accepted:
25
10
2022
entrez:
24
11
2022
pubmed:
25
11
2022
medline:
25
11
2022
Statut:
epublish
Résumé
To explore clinical characteristics, perioperative management and outcomes of Hip Fracture patients with advanced Chronic Kidney Disease (HF-aCKD) compared to the general Hip Fracture population without aCKD (HF-G) within a large volume tertiary hospital in Western Australia. Retrospective chart review of patients admitted with hip fracture (HF) to a single large volume tertiary hospital registered on Australian and New Zealand Hip Fracture Registry (ANZHFR). We compared baseline demographic and clinical frailty scale (CFS) of HF-aCKD (n = 74), defined as eGFR < 30 mls/min/1.73 m We identified 74 (6.97%) HF patients with aCKD. General demographics were similar in HF-aCKD and HF-G populations. 120-days mortality for HF-aCKD was double that of HF-G population (34% vs 17%, 120-days mortality was double in HF-aCKD and triple in HF-dialysis that of the HF-G within our institution. Clinical frailty scale can be useful in predicting mortality after HF in frail aCKD patients. High rate of blood transfusions was observed in HF-aCKD group. Further studies with larger HF-aCKD numbers are required to explore these associations in detail.
Identifiants
pubmed: 36420088
doi: 10.1177/21514593221138658
pii: 10.1177_21514593221138658
pmc: PMC9677301
doi:
Types de publication
Journal Article
Langues
eng
Pagination
21514593221138658Informations de copyright
© The Author(s) 2022.
Déclaration de conflit d'intérêts
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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