Risk Factors for Sepsis after Retrograde Intrarenal Surgery: Single Center Experience
Purpose To evaluate risk factors for sepsis after retrograde intrarenal surgery for treatment of renal stones. Materials and Methods We analyzed the clinical data of 243 patients with kidney stones who visited our institution between April 2017 and April 2023. Age, sex, body mass index, underlying d...
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| Format: | Article |
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Korean Association of Urogenital Tract Infection and Inflammation
2023-12-01
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| Series: | Urogenital Tract Infection |
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| Online Access: | http://euti.org/upload/pdf/UTI018-03-93.pdf |
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| author | Jinseok Kang Koo Han Yoo Taesoo Choi Gyeong Eun Min Dong-Gi Lee Hyung-Lae Lee Jeonghyouk Choi |
| author_facet | Jinseok Kang Koo Han Yoo Taesoo Choi Gyeong Eun Min Dong-Gi Lee Hyung-Lae Lee Jeonghyouk Choi |
| author_sort | Jinseok Kang |
| collection | DOAJ |
| description | Purpose To evaluate risk factors for sepsis after retrograde intrarenal surgery for treatment of renal stones. Materials and Methods We analyzed the clinical data of 243 patients with kidney stones who visited our institution between April 2017 and April 2023. Age, sex, body mass index, underlying disease, location and size of stones, previous history of stones, previous history of urinary tract infections, duration of surgery, preoperative drainage, application of ureteral balloon dilation, and laboratory test results were included in the analysis. Results The mean age of the patients was 58.4 (±15.0) years; there were more men (53.1%) than women (46.9%). Of the 243 patients, the overall rate of sepsis was 5.8% (n=14) and the total mortality rate was 0.4% (n=1). In univariate analysis, history of urinary tract infection (p=0.019), positive preoperative urine culture test (p=0.009), operative duration of more than 90 min (p=0.004), and application of ureter balloon dilation (p=0.016) were statistically significant. In multivariate analysis, positive finding in the urine culture test performed before surgery (p=0.003), operation duration >90 min (p=0.005), and use of balloon dilation during surgery (p=0.011) were statistically significant. Conclusions There is a risk of progression to postoperative sepsis if bacteria are detected in the urine culture before surgery, if the operative time exceeds 90 min, or if balloon dilation is performed during surgery. Given that the probability of progression to sepsis is approximately 6%, close observation and active treatment are needed for patients with these risk factors. |
| format | Article |
| id | doaj-art-4360a95a700b46f8818fce4cb24d0ded |
| institution | DOAJ |
| issn | 2465-8243 2465-8510 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Korean Association of Urogenital Tract Infection and Inflammation |
| record_format | Article |
| series | Urogenital Tract Infection |
| spelling | doaj-art-4360a95a700b46f8818fce4cb24d0ded2025-08-20T02:47:33ZengKorean Association of Urogenital Tract Infection and InflammationUrogenital Tract Infection2465-82432465-85102023-12-011839310010.14777/uti.2023.18.3.93406Risk Factors for Sepsis after Retrograde Intrarenal Surgery: Single Center ExperienceJinseok Kang0Koo Han Yoo1Taesoo Choi2Gyeong Eun Min3Dong-Gi Lee4Hyung-Lae Lee5Jeonghyouk Choi6Department of Urology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, KoreaDepartment of Urology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, KoreaDepartment of Urology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, KoreaDepartment of Urology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, KoreaDepartment of Urology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, KoreaDepartment of Urology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, KoreaDepartment of Urology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, KoreaPurpose To evaluate risk factors for sepsis after retrograde intrarenal surgery for treatment of renal stones. Materials and Methods We analyzed the clinical data of 243 patients with kidney stones who visited our institution between April 2017 and April 2023. Age, sex, body mass index, underlying disease, location and size of stones, previous history of stones, previous history of urinary tract infections, duration of surgery, preoperative drainage, application of ureteral balloon dilation, and laboratory test results were included in the analysis. Results The mean age of the patients was 58.4 (±15.0) years; there were more men (53.1%) than women (46.9%). Of the 243 patients, the overall rate of sepsis was 5.8% (n=14) and the total mortality rate was 0.4% (n=1). In univariate analysis, history of urinary tract infection (p=0.019), positive preoperative urine culture test (p=0.009), operative duration of more than 90 min (p=0.004), and application of ureter balloon dilation (p=0.016) were statistically significant. In multivariate analysis, positive finding in the urine culture test performed before surgery (p=0.003), operation duration >90 min (p=0.005), and use of balloon dilation during surgery (p=0.011) were statistically significant. Conclusions There is a risk of progression to postoperative sepsis if bacteria are detected in the urine culture before surgery, if the operative time exceeds 90 min, or if balloon dilation is performed during surgery. Given that the probability of progression to sepsis is approximately 6%, close observation and active treatment are needed for patients with these risk factors.http://euti.org/upload/pdf/UTI018-03-93.pdfendoscopykidney calculisepsis |
| spellingShingle | Jinseok Kang Koo Han Yoo Taesoo Choi Gyeong Eun Min Dong-Gi Lee Hyung-Lae Lee Jeonghyouk Choi Risk Factors for Sepsis after Retrograde Intrarenal Surgery: Single Center Experience Urogenital Tract Infection endoscopy kidney calculi sepsis |
| title | Risk Factors for Sepsis after Retrograde Intrarenal Surgery: Single Center Experience |
| title_full | Risk Factors for Sepsis after Retrograde Intrarenal Surgery: Single Center Experience |
| title_fullStr | Risk Factors for Sepsis after Retrograde Intrarenal Surgery: Single Center Experience |
| title_full_unstemmed | Risk Factors for Sepsis after Retrograde Intrarenal Surgery: Single Center Experience |
| title_short | Risk Factors for Sepsis after Retrograde Intrarenal Surgery: Single Center Experience |
| title_sort | risk factors for sepsis after retrograde intrarenal surgery single center experience |
| topic | endoscopy kidney calculi sepsis |
| url | http://euti.org/upload/pdf/UTI018-03-93.pdf |
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