The Risk Factors of Unplanned Hospital Readmission Following Percutaneous Nephrolithotomy
Journal Title: Journal of Academic Research in Medicine - Year 2021, Vol 11, Issue 1
Abstract
Objective: Percutaneous nephrolithotomy (PNL) is currently recommended as the first treatment option for complex kidney stones larger than 2 cm. Although it is a safe and effective treatment, emergency room admissions and hospitalisations occur because of PNL complications. This study aimed to examine patient-related independent risk factors that may cause unplanned hospital readmission after PNL. Methods: Data of patients who were admitted to our clinic due to upper urinary system calculi and underwent conventional PNL operation between January 2015 and December 2019 were evaluated retrospectively. Hospital readmission was defined as unscheduled rehospitalisation within 30 days after discharge. The study cohort was divided into two groups: the readmission (group A) and non-readmission groups (group B). Post-operative complication scoring was performed according to the Clavien-Dindo classification. Multivariate logistic regression analysis was used to evaluate independent prognostic risk factors on readmission after PNL. Results: A total of 390 patients were included in our study. Of patients, 24 (6.1%) were readmitted to our clinic in the post-operative period. Gender, age, body mass index and stone volume were statistically similar between the groups. Based on multivariate analysis, the presence of Clavien 3a and 3b complications, post-operative blood transfusion, presence of preoperative hydronephrosis, American Society of Anaesthesiologist score and low stone density (<859 Hounsfield units) were determined as significant independent risk factors for readmission. Conclusion: Determination of preoperative risk factors will reduce hospital readmissions rates, thus reducing the potential burden on the health system and increasing patient comfort.
Authors and Affiliations
Yavuz Onur Danacıoğlu, Deniz Noyan Özlü, Fatih Akkaş, Mustafa Gürkan Yenice, Ali İhsan Taşçı
Keywords
Related Articles
- EP ID EP694478
- DOI 10.4274/jarem.galenos.2021.3915
- Views 90
- Downloads 0
Do INI1 and E-cadherin Expression Loss Have Any Significance in Endometrial Carcinomas?
Objective: Endometrial carcinoma (EC) is a highly heterogeneous malignancy in terms of morphology, clinical course, response to treatment and prognosis. This study aimed to investigate the loss of INI1 (SWI/SNF family me...
Investigation of Sexual Dysfunction in Premenopausal Women with Urinary Incontinence
Objective: In this study, “Female Sexual Dysfunction (FSD)” was investigated in women who applied to our urology outpatient clinics who suffered from urinary incontinence (UI) and healthy women who did not have UI to eva...
Comparison of COVID-19 Case-Fatality-Rates by Socio- Demographic Factors
Objective: To evaluate socio-demographic risk factors in comparison with Coronavirus disease (COVID-19) case fatality rates (CFRs). Methods: In this cross-sectional study, we used the demographic and epidemiologic data...
Cervical Lipoleiomyoma: Case Report
Lipoleiomyomas are uncommon benign neoplasms composed of various mixtures of long intersecting bundles of bland smooth-muscle cells and mature adipocytes. These tumors are most commonly located in the uterine corpus, but...
Vitamin D Deficiency is Associated with Depression, Anxiety and Sleep Disturbance in Pregnant Women
Objective: Vitamin D deficiency is prevalent in pregnancy and has been associated with psychological symptoms in non-pregnant patient populations. This study aimed to evaluate the relationship between depression, anxiety...