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The Incidence and Risk Factors of Acute Kidney Disease after Total Knee Arthroplasty with Early Postoperative Volume Supplement
Joint Authors
Wu, Kuan-Ting
Wang, Jun-Wen
Chen, Chung-Yang
Chen, Bradley
Lin, Po-Chun
Yen, Shih-Hsiang
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-17
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Etiology of acute kidney disease (AKD) after total knee arthroplasty (TKA) was considered as multifactorial.
However, the role of early postoperative volume supplement in AKD rate has not been investigated.
The purpose of this study was to evaluate the incidence and risk factors of AKD in patients with early volume supplement following TKA.
Methods.
This was a retrospective study with 458 patients who underwent unilateral TKA.
All the patients received 6% tetrastarch, 7.5ml/kg, early in the postoperative period.
Postoperative AKD was defined as the postoperative creatinine level ≥ 1.5 times compared with preoperative data.
Potential variables associated with AKD were analyzed by multivariate logistic regression model to identify the AKD risk factors in TKA patients after early postoperative volume supplement.
Results.
The AKD rate was 3.3% (15 patients) in all patients.
Age (OR = 1.09; P = .031) and coronary artery disease (CAD) (OR = 3.63; P = .034) were associated with increased risk of development of postoperative AKD.
Other comorbidities as hypertension, diabetes, and CKD were not statistically significant risk factors.
Conclusion.
Our study demonstrated that age and CAD were independent risk factors of AKD in TKA patients.
However, the common risk factors as hypertension, diabetes, and CKD were not significantly associated with AKD after TKA if early postoperative supplement of tetrastarch is administered.
American Psychological Association (APA)
Wu, Kuan-Ting& Chen, Chung-Yang& Chen, Bradley& Wang, Jun-Wen& Lin, Po-Chun& Yen, Shih-Hsiang. 2018. The Incidence and Risk Factors of Acute Kidney Disease after Total Knee Arthroplasty with Early Postoperative Volume Supplement. BioMed Research International،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1129311
Modern Language Association (MLA)
Wu, Kuan-Ting…[et al.]. The Incidence and Risk Factors of Acute Kidney Disease after Total Knee Arthroplasty with Early Postoperative Volume Supplement. BioMed Research International No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1129311
American Medical Association (AMA)
Wu, Kuan-Ting& Chen, Chung-Yang& Chen, Bradley& Wang, Jun-Wen& Lin, Po-Chun& Yen, Shih-Hsiang. The Incidence and Risk Factors of Acute Kidney Disease after Total Knee Arthroplasty with Early Postoperative Volume Supplement. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1129311
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129311