Description

Gharaibeh et al evaluated patients who developed acute kidney injury (AKI) after total hip arthroplasty. Although uncommon it can be present in patients with comorbidities. The authors are from the Mayo Clinic.


Patient selection: total hip arthroplasty

 

Parameters:

(1) age in years

(2) sex

(3) chronic kidney disease

(4) congestive heart failure

(5) diabetes mellitus

(6) hypertension

 

Parameter

Finding

Points

age in years

 

0.033 * (age)

sex

male

0.58

 

female

0

chronic kidney disease

no

0

 

yes

1.54

congestive heart failure

no

0

 

yes

1.51

diabetes

no

0

 

yes

0.74

hypertension

no

0

 

yes

0.72

 

X =

= SUM(points for all 6 parameters) - 8.18

 

probability of AKI =

= 1 / (1 + EXP((-1) * X))

 

Blood transfusion was an additional risk factor.


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