A Retrospective Study of the Perioperative Period Management of Joint Arthroplasty in Patients with Chronic Kidney Disease
Objective With the rising prevalence of chronic kidney disease (CKD) and the increasing demand for joint arthroplasty, the management of CKD patients in the perioperative period of joint arthroplasty has become an issue worthy of attention for orthopedic surgeons. This study aimed to explore compreh...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-02-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13589 |
| _version_ | 1797936721250222080 |
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| author | Hongfu Jin Miao He Guang Yang Wenqing Xie Dengjie Yu Hengzhen Li Wenfeng Xiao Yusheng Li |
| author_facet | Hongfu Jin Miao He Guang Yang Wenqing Xie Dengjie Yu Hengzhen Li Wenfeng Xiao Yusheng Li |
| author_sort | Hongfu Jin |
| collection | DOAJ |
| description | Objective With the rising prevalence of chronic kidney disease (CKD) and the increasing demand for joint arthroplasty, the management of CKD patients in the perioperative period of joint arthroplasty has become an issue worthy of attention for orthopedic surgeons. This study aimed to explore comprehensive perioperative period management strategies for CKD patients. Methods From March 2017 to August 2022, 62 patients who underwent joint arthroplasty in our hospital were included in a retrospective study, including 31 CKD patients (mean age 69.8 ± 13.4 years old) and 31 non‐CKD patients (mean age 69.4 ± 14.2 years old). The outcome indicators were analyzed, including serum urea, serum creatinine, blood uric acid, hematocrit, and hemoglobin. Results All patients included in the retrospective study had an average preoperative preparation time of 4.3 ± 2.6 days and an average hospitalization time of 11.0 ± 7.3 days. There were no significant differences in the changes in the serum urea values between the preoperative and postoperative measurements in the CKD patients or in the serum creatinine values and blood uric acid values (P > 0.05). The hemoglobin value in postoperative measurements was lower than in preoperative measurements in the CKD patients (P < 0.05). The hematocrit value in postoperative measurements was lower than in preoperative measurements in the CKD patients (P < 0.001). Conclusion Patients with CKD have distinct characteristics compared to non‐CKD patients, and they generally have a higher risk for postoperative complications and adverse events. Recognition of risk factors, suitable timing of surgery, the undertaking of protective strategies, and proper management of complications are vital for managing CKD patients in the perioperative period of joint arthroplasty. |
| first_indexed | 2024-04-10T18:33:44Z |
| format | Article |
| id | doaj.art-f615a68c1f83407dab8fa3d261b7c1e8 |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-04-10T18:33:44Z |
| publishDate | 2023-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-f615a68c1f83407dab8fa3d261b7c1e82023-02-02T02:44:50ZengWileyOrthopaedic Surgery1757-78531757-78612023-02-0115259160510.1111/os.13589A Retrospective Study of the Perioperative Period Management of Joint Arthroplasty in Patients with Chronic Kidney DiseaseHongfu Jin0Miao He1Guang Yang2Wenqing Xie3Dengjie Yu4Hengzhen Li5Wenfeng Xiao6Yusheng Li7Department of Orthopedics Xiangya Hospital, Central South University Changsha Hunan ChinaDepartment of Orthopedics Xiangya Hospital, Central South University Changsha Hunan ChinaDepartment of Orthopedics Xiangya Hospital, Central South University Changsha Hunan ChinaDepartment of Orthopedics Xiangya Hospital, Central South University Changsha Hunan ChinaDepartment of Orthopedics Xiangya Hospital, Central South University Changsha Hunan ChinaDepartment of Orthopedics Xiangya Hospital, Central South University Changsha Hunan ChinaDepartment of Orthopedics Xiangya Hospital, Central South University Changsha Hunan ChinaDepartment of Orthopedics Xiangya Hospital, Central South University Changsha Hunan ChinaObjective With the rising prevalence of chronic kidney disease (CKD) and the increasing demand for joint arthroplasty, the management of CKD patients in the perioperative period of joint arthroplasty has become an issue worthy of attention for orthopedic surgeons. This study aimed to explore comprehensive perioperative period management strategies for CKD patients. Methods From March 2017 to August 2022, 62 patients who underwent joint arthroplasty in our hospital were included in a retrospective study, including 31 CKD patients (mean age 69.8 ± 13.4 years old) and 31 non‐CKD patients (mean age 69.4 ± 14.2 years old). The outcome indicators were analyzed, including serum urea, serum creatinine, blood uric acid, hematocrit, and hemoglobin. Results All patients included in the retrospective study had an average preoperative preparation time of 4.3 ± 2.6 days and an average hospitalization time of 11.0 ± 7.3 days. There were no significant differences in the changes in the serum urea values between the preoperative and postoperative measurements in the CKD patients or in the serum creatinine values and blood uric acid values (P > 0.05). The hemoglobin value in postoperative measurements was lower than in preoperative measurements in the CKD patients (P < 0.05). The hematocrit value in postoperative measurements was lower than in preoperative measurements in the CKD patients (P < 0.001). Conclusion Patients with CKD have distinct characteristics compared to non‐CKD patients, and they generally have a higher risk for postoperative complications and adverse events. Recognition of risk factors, suitable timing of surgery, the undertaking of protective strategies, and proper management of complications are vital for managing CKD patients in the perioperative period of joint arthroplasty.https://doi.org/10.1111/os.13589Chronic kidney diseaseJoint arthroplastyPerioperative periodRenal function |
| spellingShingle | Hongfu Jin Miao He Guang Yang Wenqing Xie Dengjie Yu Hengzhen Li Wenfeng Xiao Yusheng Li A Retrospective Study of the Perioperative Period Management of Joint Arthroplasty in Patients with Chronic Kidney Disease Orthopaedic Surgery Chronic kidney disease Joint arthroplasty Perioperative period Renal function |
| title | A Retrospective Study of the Perioperative Period Management of Joint Arthroplasty in Patients with Chronic Kidney Disease |
| title_full | A Retrospective Study of the Perioperative Period Management of Joint Arthroplasty in Patients with Chronic Kidney Disease |
| title_fullStr | A Retrospective Study of the Perioperative Period Management of Joint Arthroplasty in Patients with Chronic Kidney Disease |
| title_full_unstemmed | A Retrospective Study of the Perioperative Period Management of Joint Arthroplasty in Patients with Chronic Kidney Disease |
| title_short | A Retrospective Study of the Perioperative Period Management of Joint Arthroplasty in Patients with Chronic Kidney Disease |
| title_sort | retrospective study of the perioperative period management of joint arthroplasty in patients with chronic kidney disease |
| topic | Chronic kidney disease Joint arthroplasty Perioperative period Renal function |
| url | https://doi.org/10.1111/os.13589 |
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