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16.Risk Factors for Renal Dysfunction after Total Hip Joint Replacement in One Territory Care Hospital in Peshawar

1. Mohammad Tariq Ijaz Afridi 2. Farooq Munfaet Ali Khan 3. Tanveer Sadiq Chaudhry

4. Asnad

1. Asstt. Prof. of Orthopedics Surgery, JMC, Peshawar 2. Asstt.Prof. of Physiology, MBBS Medical College,

Mirpur,AJK 3. Asstt.Prof. of Surgery, MBBS Medical College, Mirpur,AJK 4. Asstt. Prof. of Biochemistry, MBBS Medical College, Mirpur,AJK

ABSTRACT

Objective: The objective of our study was to identify the possible risk factors for renal dysfunction after total hip joint replacement surgery.

Study Design:  Observational cohort study

Place and Duration of Study: This study was conducted in Orthopedic Department of Lady Reading Hospital, Peshawar from March 2013 to February 2014. 

Materials and Methods: A study was conducted among 212 consecutive primary hip joint replacements performed. According to the RIFLE criteria, increased postoperative serum creatinine was considered indicative of postoperative renal injury. 

Results: Eighty-one patients (14.1 %) had significant moderate or severe postoperative renal dysfunction in which   4 patients (1.9 %) acquired severe and permanent renal impairment.

Conclusion: We identified advanced age, hypertension, general anesthesia, high ASA scores, low intra-operative systolic BP, and prophylactic dicloxacillin as significant risk factors. Smoking, diabetes mellitus, high BMI, gender, and duration of surgery were not identified as significant risk factors. Key Words: Risk Factors, Renal Dysfunction, Hip Joint Replacement 

Citation of article: Afridi MTI, Khan FMA, Chaudhry TS, Asnad. Risk Factors for Renal Dysfunction after Total Hip Joint Replacement in One Territory Care Hospital in Peshawar. Med Forum 2015;26(10):62-65.