Perioperative medicine & outcomes

Effects of chronic kidney disease on complications and mortality after fracture surgery

Perioper Med (Lond)Published Systematic review and meta-analysis

Pooled result · Postoperative complicationsResult — go to the resultOdds ratio 1.67 95% CI 1.54–1.81

Authors' conclusion

Compared with patients in the non-CKD group, patients in the CKD group did not significantly differ in the incidence of most postoperative complications after fracture surgery. However, the CKD group had a significantly greater incidence of myocardial infarction and markedly higher postoperative mortality rates at 30 days, 1 year, 2 years, and 10 years.

Study context

Population
Patients with fractures undergoing surgery
Participants
1,615,440 patients · 19 studies
Comparison
CKD vs non-CKD in patients undergoing fracture surgery
Outcome
Postoperative complications and survival

Pooled result

Postoperative complications

Odds ratio

1.67

95% CI 1.54–1.81

P < 0.00001

CKD vs non-CKD
OR 1.67 (95% CI 1.54–1.81); P < 0.00001

As reported in the abstract

Further pooled results

OutcomeOR (95% CI)P value
Mortality · 30 daysI2 = 84%2.71 (2.23–3.28)P < 0.00001
Mortality · 1 yearI2 = 85%3.17 (2.64–3.82)P < 0.00001
Mortality · 2 yearsI2 = 8%3.06 (2.88–3.25)P < 0.00001
Mortality · 10 yearsI2 = 0%6.85 (5.84–8.03)P < 0.00001

Original publication

Effects of chronic kidney disease on complications and mortality after fracture surgery. Perioper Med (Lond). Published 22 March 2025. doi:10.1186/s13741-025-00514-y

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