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JYMS : Journal of Yeungnam Medical Science

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Original article
Analysis of the risk factors of acute kidney injury after total hip or knee replacement surgery
Yoo Jin Lee, Bong Soo Park, Sihyung Park, Jin Han Park, Il Hwan Kim, Junghae Ko, Yang Wook Kim
Yeungnam Univ J Med. 2021;38(2):136-141.   Published online October 27, 2020
DOI: https://doi.org/10.12701/yujm.2020.00542
  • 6,621 View
  • 104 Download
  • 2 Crossref
AbstractAbstract PDF
Background
Postoperative acute kidney injury (AKI), which increases the risk of postoperative morbidity and mortality, poses a major concern to surgeons. We conducted this study to analyze the risk factors associated with the occurrence of AKI after orthopedic surgery.
Methods
This was a retrospective study that included 351 patients who underwent total hip or knee replacement surgery at Inje University Haeundae Paik Hospital between January 2012 and December 2016.
Results
AKI occurred in 13 (3.7%) of the 351 patients. The patients’ preoperative estimated glomerular filtration rate (eGFR) was 66.66±34.02 mL/min/1.73 m2 in the AKI group and 78.07±21.23 mL/min/1.73 m2 in the non-AKI group. The hemoglobin levels were 11.21±1.65 g/dL in the AKI group and 12.39±1.52 g/dL in the non-AKI group. Hemoglobin level was related to increased risk of AKI (odds ratio [OR], 0.13; 95% confidence interval [CI], 0.02–0.68; p=0.016). Administration of crystalloid or colloid fluid alone and the perioperative amount of fluid did not show any significant relationship with AKI. Further analysis of the changes in eGFR was performed using a cutoff value of 7.54. The changes in eGFR were significantly related to decreased risk of AKI (OR, 0.74; 95% CI, 0.61–0.89; p=0.002).
Conclusion
Renal function should be monitored closely after orthopedic surgery if patients have chronic kidney disease and low hemoglobin level. Predicting the likelihood of AKI occurrence, early treatment of high-risk patients, and monitoring perioperative laboratory test results, including eGFR, will help improve patient prognosis.

Citations

Citations to this article as recorded by  
  • Supplemental oxygen is associated with increased complications and readmission following total shoulder arthroplasty
    Nikhil Vallabhaneni, Alexander S. Guareschi, Josef K. Eichinger, Richard J. Friedman
    Seminars in Arthroplasty: JSES.2023; 33(3): 512.     CrossRef
  • Acute kidney injury after primary total hip replacement
    M. L. Lebed, M. G. Kirpichenko, E. V. Novikova, T. G. Lebed, A. V. Mankov
    Acta Biomedica Scientifica.2023; 8(5): 125.     CrossRef
Original Articles
Subependymal Giant Cell Astrocytoma in the tuberous Sclerosis.
Jin Han Park, Seong Ho Kim, Dong Ro Han, Jang Ho Bae, Sam Kyu Ko, Oh Lyong Kim, Byung Yon Choi, Soo Ho Cho
Yeungnam Univ J Med. 1994;11(2):221-229.   Published online December 31, 1994
DOI: https://doi.org/10.12701/yujm.1994.11.2.221
  • 1,740 View
  • 1 Download
AbstractAbstract PDF
Tuberous sclerosis is reported rarely and is associated with systemic lesions including central nervous system, skin, heart, eye and kidney. Approximately 5-15% of individuals with tuberous sclerosis will develop brain neoplasia, almost invariably subependymal giant-cell astrocytoma (SGCA). We experienced a case of SGCA with tuberous sclerosis operated by the transcallosal approach and report with literature review.
The Effects of Microwave Irradiated on Rabbit's ICP.
Jin Han Park, Seong Ho Kim, Dong Ro Han, Jang Ho Bae, Oh Lyong Kim, Byung Yon Choi, Soo Ho Cho, Joon Ha Lee
Yeungnam Univ J Med. 1994;11(2):213-220.   Published online December 31, 1994
DOI: https://doi.org/10.12701/yujm.1994.11.2.213
  • 1,679 View
  • 1 Download
AbstractAbstract PDF
Damages on central nervous system induced by the exposure of microwave. However, the effects of microwave on ICP are not studied yet. The ICP affected by the condition of the condition of the brain has an significant effect on vital sign. So we investigated the changes of ICP of the rabbits after exposure. Twenty four rabbits were divided into 3 groups depending on the amount of exposure to microwave. One group was composed with 8 rabbits were exposed to microwave for 10 miniutes. Other were composed to microwave for 20 miniutes, 30 miniures, respectively. Intracranial pressure on each group were measured by subdural type ICP monitoring catheter immediately, first day, 3rd day, 5th day and 7th day after exposure of microwave. Results indicates that intracranial pressure of rabbits are not affected with statistical significance by exposure of microwave.

JYMS : Journal of Yeungnam Medical Science
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