From: Incidence and risk factors for acute kidney injury after total joint arthroplasty
No Acute Kidney Injury | Acute Kidney Injury | P Value | |
---|---|---|---|
Demographic Characteristics | |||
Age (years) | 72.5 ± 10.0 | 71.1 ± 10.2 | 0.070 |
Sex (male:female) | 317 (58.1%): 229 (41.9%) | 146 (53.3%): 128 (46.7%) | 0.193 |
Body Mass Index | 31.8 ± 6.7 | 34.4 ± 7.4 | < 0.001 |
Race/Ethnicity | |||
Non-Hispanic White | 412 (75.5%) | 171 (62.4%) | < 0.001 |
Non-Hispanic Black | 35 (6.41%) | 39 (14.2%) | < 0.001 |
Hispanic | 16 (2.9%) | 8 (2.9%) | 0.993 |
Asian | 8 (1.5%) | 3 (1.1%) | 0.664 |
Comorbidities | |||
Tobacco smoking within 1 year | 46 (8.4%) | 30 (11.0%) | 0.240 |
Chronic steroid use | 22 (4.0%) | 10 (3.7%) | 0.791 |
Diabetes | 113 (20.7%) | 110 (40.2%) | < 0.001 |
Hypertension | 418 (76.6%) | 241 (88.0%) | < 0.001 |
COPD | 28 (5.1%) | 29 (10.6%) | 0.004 |
Congestive heart failure | 6 (1.1%) | 8 (2.9%) | 0.058 |
Bleeding disorders | 27 (5.0%) | 20 (7.3%) | 0.171 |
History of metastatic cancer | 2 (0.4%) | 1 (0.4%) | 0.998 |
Anemia | 208 (38.1%) | 145 (52.9%) | < 0.001 |
Dyspnea | 56 (10.3%) | 47 (17.2%) | 0.005 |
Chronic kidney disease | 76 (13.9%) | 84 (30.7%) | < 0.001 |
Perioperative characteristics | |||
Primary osteoarthritis | 524 (96.0%) | 252 (92.0%) | 0.017 |
Total Hip Arthroplasty | 198 (36.3%) | 95 (34.7%) | 0.654 |
Total Knee Arthroplasty | 348 (63.7%) | 179 (65.3%) | 0.654 |
Bilateral procedure | 5 (0.92%) | 9 (3.28%) | 0.014 |
ASA Physical Classification | 2.9 ± 0.5 | 3.0 ± 0.6 | 0.701 |
Operative time (minutes) | 91.3 ± 34.8 | 100.8 ± 42.2 | 0.001 |
Sodium (mEq/L) | 139.7 ± 2.9 | 139.4 ± 3.1 | 0.114 |
BUN (mg/dL) | 21.4 ± 10.3 | 27.2 ± 15.0 | < 0.001 |
Creatinine (mg/dL) | 1.3 ± 1.5 | 1.5 ± 1.0 | 0.132 |
Albumin (g/dL) | 4.0 ± 0.4 | 3.9 ± 0.4 | 0.005 |
Bilirubin (mg/dL) | 0.6 ± 0.5 | 0.8 ± 1.2 | 0.205 |
AST (units/L) | 23.6 ± 1.08 | 23.2 ± 12.2 | 0.741 |
ALP (units/L) | 84.2 ± 33.4 | 91.2 ± 38.1 | 0.058 |
WBC (× 109 cells/L) | 7.5 ± 6.2 | 7.8 ± 3.3 | 0.377 |
Hematocrit (%) | 40.7 ± 4.7 | 38.5 ± 5.0 | < 0.001 |
Platelets (× 109 /L) | 227.6 ± 60.3 | 232.4 ± 72.2 | 0.314 |
PTT (sec) | 29.8 ± 5.2 | 29.9 ± 5.5 | 0.913 |
INR | 1.1 ± 0.2 | 1.1 ± 0.3 | 0.538 |
PT (sec) | 12.5 ± 3.3 | 13.2 ± 4.9 | 0.568 |