ArticleBMC anesthesiology2019
Risk factors and outcomes of urosepsis in patients with calculous pyonephrosis receiving surgical intervention: a single-center retrospective study.
Article in BMC anesthesiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06299215 (Factors Associated With the Prognosis of Patients Admitted to for Acute Obstructive Pyelonephritis), which is not on this map. Cited by 18 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Factors Associated With the Prognosis of Patients Admitted to for Acute Obstructive Pyelonephritis
Who cites it
18 citing papers in PubMed, 27 citations in OpenAlex.
- [Analysis of risk factors and construction of a predictive model for perioperative urosepsis].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026Article
- Risk factors for urosepsis in diabetic patients with renal and ureteral calculi: A retrospective study.World journal of diabetes · 2025Article
- The role of m6A methylation genes in predicting poor prognosis in sepsis: identifying key biomarkers and therapeutic targets.European journal of medical research · 2024Article
- Micropercutaneous nephrostomy for intervention in acute upper urinary tract calculi obstruction with hydronephrosis and infection.Scientific reports · 2024Article
- The mean Hounsfield unit range acquired from different slices produces superior predictive accuracy for pyonephrosis in obstructive uropathy.Investigative and clinical urology · 2024Article
- Construction of an alignment diagram model for predicting calculous obstructive pyonephrosis before PNL.Heliyon · 2024Article
- Assessment of the incidence and risk factors of postoperative urosepsis in patients undergoing ureteroscopic lithotripsy.Central European journal of urology · 2024Article
- Risk factors of concurrent urinary sepsis in patients with diabetes mellitus comorbid with upper urinary tract calculi.World journal of diabetes · 2023Article
- Percutaneous nephrolithotomy in patients with incidental encountered purulent urine at initial puncture.Urolithiasis · 2023Article
- Reported definitions of intraoperative hypotension in adults undergoing non-cardiac surgery under general anaesthesia: a review.BMC anesthesiology · 2022Review
- One-stage tubeless percutaneous nephrolithotomy for asymptomatic calculous pyonephrosis.BMC urology · 2022Article
- Predicting the prognosis in patients with sepsis by a pyroptosis-related gene signature.Frontiers in immunology · 2022Article
- Predictors of mortality for patients admitted to the intensive care unit with obstructing septic stones.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021Article
- A non-linear ensemble model-based surgical risk calculator for mixed data from multiple surgical fields.BMC medical informatics and decision making · 2021Article
- Risk factors for urosepsis in chronic kidney disease patients with urinary tract infections.Scientific reports · 2021Article
- Risk factors and prediction model of urosepsis in patients with diabetes after percutaneous nephrolithotomy.BMC urology · 2021Article
- Machine learning-assisted decision-support models to better predict patients with calculous pyonephrosis.Translational andrology and urology · 2021Article
- Community Acquired Urosepsis: A surgical intensive care Experience.Qatar medical journal · 2020Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUrosepsis is a catastrophic complication, which can easily develop into septic shock and lead to death if not diagnosed early and effectively treated in time. However, there is a lack of evidence on the risk factors and outcomes in calculous pyonephrosis patients. Therefore, this study was conducted to identify risk factors and outcomes of intra- and postoperative urosepsis in this particular population.
methodsClinical data of 287 patients with calculous pyonephrosis were collected. In the univariate and multivariate analysis, all patients were divided into urosepsis group and non-urosepsis group. The diagnosis of urosepsis was mainly on the basis of the criteria of American College of Chest Physicians (ACCP)/Society of Critical Care Medicine (SCCM). Patient characteristics and outcomes data were analyzed, and risk factors were assessed by binary logistic regression analysis.
resultsOf 287 patients, 41 (14.3%) acquired urosepsis. Univariate analysis showed that white blood cell (WBC > 10*10^9/L) before surgery (P = 0.027), surgery types (P = 0.009), hypotension during surgery (P < 0.001) and urgent surgery (P < 0.001) were associated with intra- and postoperative urosepsis for calculous pyonephrosis patients. In multivariate analysis, hypotension during surgery and urgent surgery were closely related to intra- and postoperative urosepsis. Outcome analysis suggested that patients developing urosepsis had a longer intensive care unit (ICU) stay and postoperative hospital stay and higher mortality.
conclusionsHypotension during surgery and urgent surgery were risk factors of intra- and postoperative urosepsis for calculous pyonephrosis patients, which may lead to a prolonged ICU stay, postoperative hospital stay and higher mortality.
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