髋部骨折患者急性肾损伤的危险因素及相关后果。
Risk factors and associated outcomes of acute kidney injury in hip fracture patients.
作者信息
Ganta Abhishek, Parola Rown, Perskin Cody R, Konda Sanjit R, Egol Kenneth A
机构信息
NYU Langone Orthopedic Hospital, 301 E 17th Street, New York, NY, 10010, United States.
Jamaica Hospital Medical Center, 8900 Van Wyck Expy, Richmond Hill, NY, 11418, United States.
出版信息
J Orthop. 2021 Jul 26;26:115-118. doi: 10.1016/j.jor.2021.07.019. eCollection 2021 Jul-Aug.
Abstract
PURPOSE
To assess risk factors and associated outcomes of acute kidney injury (AKI) in hip fracture patients.
METHODS
Risk factors for AKI were identified by multivariate logistic regression. AKI patients were matched to patients who did not experience AKI using a validated trauma triage score. Comparative analyses between matched groups were performed.
RESULTS
Risk factors of AKI included increasing Charlson Comorbidity Index and use of anticoagulation medications. AKI was associated with increased likelihood of medical complications and longer, more costly hospital stays.
DISCUSSION
Patients with identified risk factors for AKI may benefit from consultation with nephrology and closer lab monitoring
摘要
目的
评估髋部骨折患者急性肾损伤（AKI）的危险因素及相关结局。
方法
通过多因素逻辑回归确定AKI的危险因素。使用经过验证的创伤分诊评分将AKI患者与未发生AKI的患者进行匹配。对匹配组进行比较分析。
结果
AKI的危险因素包括Charlson合并症指数增加和使用抗凝药物。AKI与医疗并发症发生可能性增加以及住院时间延长、费用增加有关。
讨论
已确定有AKI危险因素的患者可能受益于肾内科会诊和更密切的实验室监测。
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