Pretraumatic subclinical chronic renal insufficiency in fracture neck of femur of Sri Lankan patients, with a comparison with Asian and European data

IntroductionRising incidence of fracture neck of femur (NOF) are associated with rising geriatric population. Majority of patients are suffering from comorbid factors. Impaired renal function is a common comorbid factor and most of the time it is attributed to an acute renal impairment following the fracture and surgery.Objective of this study was to identify the effect of renal comorbid factors and their probable relative risk for a fracture and compare the results with Asian and European data. Specific objective was to identify a possibility of presence of pretraumatic subclinical chronic renal failure among fractured Sri Lankans.MethodologyData were collected from fractured patients (N=200) and non-fracture sample for a period of one year. Variables studied were, serum calcium, serum phosphate, blood hemoglobin level, blood urea and serum creatinine.Data were analyzed using binary logistic and multiple regressions, principal component statistical technique using STATA software.ResultsThe logistic regre...