{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:31:08Z","timestamp":1777944668108,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T00:00:00Z","timestamp":1764201600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T00:00:00Z","timestamp":1764201600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Perioperative Practice"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Acute kidney injury (AKI) is a serious complication in older patients with hip fractures. However, the prevalence and risk factors for both pre- and postoperative AKI remain poorly characterised. This study aimed to assess AKI prevalence before and after surgery in hip fracture patients and to identify associated clinical and surgical risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective observational study was conducted on patients admitted with hip fractures throughout 2020. AKI was defined using KDIGO criteria. Data collected included patient demographics, biochemical markers, perioperative details, and mortality outcomes. Statistical analysis compared AKI and non-AKI groups and examined surgical associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 190 patients were included. Preoperative AKI occurred in 2.1%, and postoperative AKI in 19.8%, with an overall AKI prevalence of 21.6%. Patients who developed AKI had significantly higher weight (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.046) and longer hospital stays (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Postoperative AKI was significantly associated with being an inpatient at the time of fracture (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.046). AKI development was also significantly associated with increased mortality (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>One in five hip fracture patients developed AKI, which was linked to higher mortality. Key risk factors included higher body weight, inpatient fractures, and prolonged admission. Early identification and tailored perioperative care are vital for improving outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17504589251392038","type":"journal-article","created":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T08:51:58Z","timestamp":1764233518000},"page":"248-256","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and risk factors of acute kidney injury in patients with hip fractures"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-6486-3418","authenticated-orcid":false,"given":"Alia","family":"Shaaban","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, South Tyneside District Hospital, South Shields, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6282-1419","authenticated-orcid":false,"given":"Mustafa","family":"Al-Zubaidy","sequence":"additional","affiliation":[{"name":"Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle-upon-Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oday","family":"Al-Dadah","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, South Tyneside District Hospital, South Shields, UK"},{"name":"Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle-upon-Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,27]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-021-03969-y"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-015-0387-2"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-019-1237-x"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-7568(23)00086-7"},{"issue":"12","key":"e_1_3_2_6_1","first-page":"815","article-title":"Acute kidney injury in patients undergoing hip fracture surgery","volume":"23","author":"Berar Yanay N","year":"2021","unstructured":"Berar Yanay N, Abu Arisha M, Berkowitz Y 2021 Acute kidney injury in patients undergoing hip fracture surgery Israel Medical Association Journal 23 (12) 815\u2013818","journal-title":"Israel Medical Association Journal"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/2151459320920088"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-023-06942-0"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-020-04849-0"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000000291"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000005215"},{"issue":"3","key":"e_1_3_2_12_1","first-page":"185","article-title":"The ASA classification and peri-operative risk","volume":"93","author":"Fitz-Henry J","year":"2011","unstructured":"Fitz-Henry J 2011 The ASA classification and peri-operative risk The Annals of the Royal College of Surgeons of England 93 (3) 185\u2013187","journal-title":"The Annals of the Royal College of Surgeons of England"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinme.2024.100028"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/0886022X.2023.2223313"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.106B1.BJJ-2023-0740.R1"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0176259"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2023.08.005"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41581-018-0052-0"},{"issue":"1","key":"e_1_3_2_19_1","article-title":"Factors associated with postoperative acute kidney injury after hip fractures in elderly patients","volume":"28","author":"Kang JS","year":"2020","unstructured":"Kang JS, Moon KH, Youn YH, Park JS, Ko SH, Jeon YS 2020 Factors associated with postoperative acute kidney injury after hip fractures in elderly patients Journal of Orthopaedic Surgery (Hong Kong) 28 (1) 2309499019896237","journal-title":"Journal of Orthopaedic Surgery (Hong Kong)"},{"issue":"1","key":"e_1_3_2_20_1","first-page":"1","article-title":"Kidney disease: Improving global outcomes (KDIGO) acute kidney injury work group. 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