Postoperative renal function evaluation, through RIFLE criteria, of elderly patients who underwent femur fracture surgery under spinal anesthesia

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dc.contributor.authorFernandes Azevedo, Vera Lucia [UNESP]
dc.contributor.authorSantos Silveira, Marco Antonio
dc.contributor.authorSantos, Jedson Nascimento
dc.contributor.authorBraz, José Reinaldo Cerqueira [UNESP]
dc.contributor.authorBraz, Leandro Gobbo [UNESP]
dc.contributor.authorMódolo, Norma Sueli Pinheiro [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionMed Sch FCT
dc.contributor.institutionUniversidade Federal da Bahia (UFBA)
dc.date.accessioned2014-05-20T13:32:07Z
dc.date.available2014-05-20T13:32:07Z
dc.date.issued2008-01-01
dc.description.abstractIntroduction. The postoperative acute renal failure (ARF) incidence in different kinds of surgery has rarely been studied. Age, cardiac dysfunction, previous renal dysfunction, intraoperative hypoperfusion, and use of nephrotoxic medications are mentioned as risk factors for ARF at the postoperative period. The postoperative ARF definition was based on the creatinine increase by the RIFLE classification (R = risk, I = injury, F = failure, L = loss, E = end stage), which corresponds to a 1.5 creatinine increase, two to three times, respectively, above the basal value. This study aimed to evaluate the postoperative ARF incidence in elderly patients who underwent femur fracture surgery under subarachnoid anesthesia and stratify it by the RIFLE criteria. Methods. Ninety patients older than 65 years under spinal anesthesia with fixed dosage of 15 mg of 0.5% isobaric bupivacaine associated with morphine 50 g were studied. Immediate postoperative creatinine was considered basal and compared with maximal creatinine evaluated at 24, 48, and 72 postoperative hours. Results. The mean age of the patients was 80.27 years. ARF incidence was 24.44% and stratified this way: R = 21.11% and I = 3.33%. Conclusions. In conclusion, the postoperative ARF incidence after femur fracture surgery in patients over 65 years was 24.44%. By analyzing the stratification based on the RIFLE classification, the incidence was categorized as Risk (R) = 21.11% and Injury (I) = 3.33%.en
dc.description.affiliationSão Paulo State Univ, Botucatu Med Sch, Dept Anesthesiol, BR-18618970 Botucatu, SP, Brazil
dc.description.affiliationMed Sch FCT, Salvador, BA, Brazil
dc.description.affiliationUniversidade Federal da Bahia (UFBA), Dept Nephrol, Salvador, BA, Brazil
dc.description.affiliationSão Paulo State Univ, UNESP, Botucatu Med Sch, São Paulo, SP, Brazil
dc.description.affiliationUnespSão Paulo State Univ, Botucatu Med Sch, Dept Anesthesiol, BR-18618970 Botucatu, SP, Brazil
dc.description.affiliationUnespSão Paulo State Univ, UNESP, Botucatu Med Sch, São Paulo, SP, Brazil
dc.format.extent485-490
dc.identifierhttp://dx.doi.org/10.1080/08860220802060398
dc.identifier.citationRenal Failure. Philadelphia: Taylor & Francis Inc, v. 30, n. 5, p. 485-490, 2008.
dc.identifier.doi10.1080/08860220802060398
dc.identifier.issn0886-022X
dc.identifier.lattes8223546475724058
dc.identifier.lattes7199562550978496
dc.identifier.urihttp://hdl.handle.net/11449/10959
dc.identifier.wosWOS:000257070000002
dc.language.isoeng
dc.publisherTaylor & Francis Inc
dc.relation.ispartofRenal Failure
dc.relation.ispartofjcr1.440
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectspinal anesthesiaen
dc.subjectacute renal failureen
dc.subjectgeriatric patienten
dc.titlePostoperative renal function evaluation, through RIFLE criteria, of elderly patients who underwent femur fracture surgery under spinal anesthesiaen
dc.typeArtigo
dcterms.licensehttp://informahealthcare.com/page/resources/authors
dcterms.rightsHolderTaylor & Francis Inc
unesp.author.lattes7199562550978496
unesp.author.lattes8223546475724058
unesp.author.orcid0000-0002-1927-8729[5]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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Artigos - Anestesiologia - FMB