Percutaneous Nephrolithotomy: Factors Associated with Fever After the First Postoperative Day and Systemic Inflammatory Response Syndrome
| Autor: | Esther T. Kok, Marique R. Sorel, Ruud Bosch, Tycho M.T.W. Lock, Ronald O.P. Draga |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Nephrology medicine.medical_specialty Adolescent Fever Urology medicine.medical_treatment Internal medicine medicine Humans Postoperative Period Risk factor Percutaneous nephrolithotomy Aged Nephrostomy Percutaneous Aged 80 and over business.industry Middle Aged medicine.disease Systemic Inflammatory Response Syndrome Surgery Lithotomy position Systemic inflammatory response syndrome Anesthesia Nephrostomy Female business Hospital stay |
| Zdroj: | Journal of Endourology. 23:921-927 |
| ISSN: | 1557-900X 0892-7790 |
| Popis: | Fever after the first postoperative day (POD1) after percutaneous nephrolithotomy (PCNL) is most likely caused by an infection that increases hospital stay and healthcare costs. The aim of this study was to find factors associated with fever after POD1 and systemic inflammatory response syndrome (SIRS).Ninety patients underwent 117 PCNLs. Patient characteristics, stone burden, and pre- and postoperative treatments were analyzed for association with fever (temperatureor=38 degrees C) and SIRS using univariate analysis.In 35% of the patients with fever (temperatureor=38 degrees C), fever was present after POD1. Twelve patients developed signs of SIRS (11.2%). In univariate analysis, significant association was observed between fever after POD1 and previous ipsilateral PCNL (p = 0.022, odds ratio OR = 3.1), and between SIRS and paraplegia (p = 0.005, OR = 10.7) and caliceal stones (p = 0.03, OR = 4.8).Previous ipsilateral PCNL increases the risk of fever after POD1. Paraplegic patients are at risk for developing SIRS after PCNL. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|