Readmission and complication rates in patients undergoing PCNL, stratified by co-morbid factors
Authors:
N. Ginzburg; A. Ovadiah; D. M. Hoenig
Published in:
Urol List 2012; 10(3): 44-47
Overview
Purpose:
To examine patient characteristics and outcomes analysis following Percutaneous Nephrostolithotomy (PCNL), including complication rates, ER visits, and readmission rates stratified by stone factors and medical co-morbidity.
Materials:
Charts of 185 patients undergoing PCNL from 2004 to 2009 were retrospectively reviewed. Multiple patient characteristics were examined, including Body Mass Index (BMI), co-morbid medical illnesses (diabetes, coronary artery disease), preoperative urinary tract infection, stone burden, sex, age, length of surgery, number of access sites. These characteristics were correlated with outcome measures with respect to complication rates (transfusion, ICU stay, sepsis), length of hospital stay, emergency room visits, and readmission rates.
Results:
Univariate and multivariate regression analyses were performed. Statistically significant correlations were found in diabetic patients with respect to higher readmission rates (p ≤ 0.001), emergency room visits, and complication rates following PCNL (p = 0.039). Additionally, a significant correlation between BMI and readmission rate was also found (p = 0.039).
Conclusion:
In contrast to prior studies, our retrospective review of 185 patients in an urban hospital setting demonstrates a correlation between complication rates after PCNL, with higher rates of complications, readmission, and emergency room visits in diabetic patients, and those with elevated BMI. These patients should be appropriated counseled preoperatively to reflect these higher complication rates which appear attributable to these underlying conditions.
Key words:
PCNL, complications, comorbid factors
Sources
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Paediatric urologist Urology Clinical oncology Pneumology and ftiseology RadiotherapyArticle was published in
Urological Journal
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