The Evaluation of Risk Factors for Postoperative Infectious Complications after Percutaneous Nephrolithotomy. (2nd February 2017)

• Record Type: Journal Article
• Authors: Yang, Tian; Liu, Shenghua; Hu, Jimeng; Wang, Lujia; Jiang, Haowen
• Other Names: Resorlu Berkan Academic Editor.
• Is Part Of: BioMed research international. Volume 2017(2017)
• Publication Date: 2017-02-02
• Subjects: Medicine -- Periodicals; Biology -- Periodicals; Biotechnology -- Periodicals; Life sciences -- Periodicals; 610.5
• DOI: 10.1155/2017/4832051
• Languages: English
• ISSNs: 2314-6133

Abstract

Abstract : This study was to evaluate the risk factors of infectious complications after percutaneous nephrolithotomy (PCNL) and build a prediction tool for postoperative complications based on the risk factors. A total of 110 male (67.1%) and 54 female (32.9%) patients who underwent PCNL for renal stones between 2010 and 2014 in our institute were included. A detailed clinical information and laboratory results were obtained from patients. Systemic inflammatory response syndrome (SIRS) and postoperative fever were recorded after PCNL surgery. In all, 45 cases (27.4%) developed SIRS and fever was observed in 20 cases (12.2%). In multivariate analysis, stone size (odds ratio, OR = 1.471, p = 0.009 ) and urine white blood cell (WBC) (OR = 1.001, p = 0.007 ) were related to the development of SIRS. Stone size (OR = 1.644, p = 0.024 ), urine WBC (OR = 1.001, p = 0.002 ) and serum albumin (OR = 0.807, p = 0.021 ) were associated with postoperative fever. We concluded that patients with larger stone size and preoperative urinary tract infection might have a higher risk of developing SIRS and fever after operation, while a high-normal level of serum albumin might be the protective factor for postoperative fever.