ArticleUrolithiasis2017
Predictors for uroseptic shock in patients who undergo minimally invasive percutaneous nephrolithotomy.
Article in Urolithiasis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Predictive value of neutrophil to lymphocyte ratio for the clinical outcome of patients with ureteral stones: a systematic review and meta-analysis.BMC urology · 2026Pooled it
- International Alliance of Urolithiasis guideline on retrograde intrarenal surgery.BJU international · 2023Guideline
- The development and internal validation of a rating scale system in predicting renal stone bacteria culture positivity before PCNL: a cross-sectional study.Urolithiasis · 2026Article
- Is negative urine culture necessary for PCNL safety? Experience from a large-volume stone center.Frontiers in surgery · 2025Article
- Risk factors of systemic inflammatory response syndrome after minimally invasive percutaneous nephrolithotomy with a controlled irrigation pressure.BMC urology · 2024Article
- Risk factors and nomogram for predicting urinary tract infection in patients with ureterolithiasis complicated with hydronephrosis.Translational andrology and urology · 2024Article
- Postoperative SIRS after thermal ablation of HCC: Risk factors and short-term prognosis.Heliyon · 2024Article
- Optimizing stone harvesting in miniaturized-PCNL: a critical examination of renal access angles, technology, and the role they play in operative efficiency.World journal of urology · 2023Article
- Reasons and risk factors for delayed discharge after day-surgery percutaneous nephrolithotomy.BMC urology · 2022Article
- A warning system for urolithiasis via retrograde intrarenal surgery using machine learning: an experimental study.BMC urology · 2022Article
- The Role of Preoperative Urinalysis in Predicting Postoperative Infection After Retrograde Intrarenal Surgery in Patients with Sterile Urine Culture.Turkish journal of urology · 2022Article
- The value of procalcitonin for predicting urosepsis after mini-percutaneous nephrolithotomy or flexible ureteroscopy based on different organisms.World journal of urology · 2022Article
- Antibiotic administration for negative midstream urine culture patients before percutaneous nephrolithotomy.Urolithiasis · 2021Article
- Risk factors and prediction model of urosepsis in patients with diabetes after percutaneous nephrolithotomy.BMC urology · 2021Article
- Value of preoperative urine white blood cell and nitrite in predicting postoperative infection following percutaneous nephrolithotomy: a meta-analysis.Translational andrology and urology · 2021Article
- Urine routine tests: a guideline-neglected, but indispensable investment in stone-removing endourological procedures.World journal of urology · 2020Article
- The evaluation of early predictive factors for urosepsis in patients with negative preoperative urine culture following mini-percutaneous nephrolithotomy.World journal of urology · 2020Article
- Risk factors of infectious complications after retrograde intrarenal surgery: a retrospective clinical analysis.The Journal of international medical research · 2020Article
- [Urological infections and antibiotic management in geriatric patients].Der Urologe. Ausg. A · 2019Review
- Research progress of percutaneous nephrolithotomy.International urology and nephrology · 2018Review
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To identify risk factors that can predict which patient is likely to progress from systemic inflammatory response syndrome (SIRS) to uroseptic shock after minimally invasive percutaneous nephrolithotomy (MPCNL) for the upper urinary tract stones. We retrospectively reviewed 156 patients who suffered infectious complications after MPCNL from March 2014 to February 2016. Perioperative risk factors that could potentially contribute to uroseptic shock were compared to those of patients with only SIRS. 135 of the 156 patients developed to SIRS only, the remaining 21 patients progressed to uroseptic shock. The rate of positive preoperative urine nitrite was significantly higher (p < 0.001), stone diameter was larger (p = 0.015) and operative time was longer (p < 0.001) in uroseptic shock group. Multivariable logistic analysis showed that preoperative urine nitrite (OR 10.570, p = 0.025), stone size (OR 11.512, p = 0.009) and postoperative blood leukopenia (OR 0.009, p < 0.001) were independently related to uroseptic shock. Moreover, ROC curve analysis showed that white blood count threshold within the first 3 h of uroseptic shock was 2.98 × 10
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