Evidence map›Paper›PMID 37041554›Full record

ArticleBMC urology2023

Risk factors for systemic inflammatory response syndrome after endoscopic lithotripsy for upper urinary calculi.

Siming Ye, Wei Wang, Zhenliang Yu, Jie Luo

Abstract read
In one paragraph

Article in BMC urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Siming YeUrology Surgery, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310006, China.
Wei WangNursing Department, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310006, China. wangw2005@zju.edu.cn.
Zhenliang YuDepartment of Emergency, Shaoxing People's Hospital, Zhejiang University Shaoxing Hospital), Shaoxing, 312000, China.
Jie LuoUrology Surgery, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310006, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo explore the risk factors for systemic inflammatory response syndrome (SIRS) after endoscopic lithotripsy for upper urinary calculi.

methodsThis retrospective study included patients with upper urinary calculi who underwent endoscopic lithotripsy in the First Affiliated Hospital of Zhejiang University between June 2018 and May 2020.

resultsA total of 724 patients with upper urinary calculi were included. One hundred and fifty-three patients developed SIRS after the operation. The occurrence of SIRS was higher after percutaneous nephrolithotomy (PCNL) compared with ureteroscopy (URS) (24.6% vs. 8.6%, P < 0.001) and after flexible ureteroscopy compared with ureteroscopy (fURS) (17.9% vs. 8.6%, P = 0.042). In the univariable analyses, preoperative infection history (P < 0.001), positive preoperative urine culture (P < 0.001), history of kidney operation on the affected side (P = 0.049), staghorn calculi (P < 0.001), stone long diameter (P = 0.015), stone limited to the kidney (P = 0.006), PCNL (P = 0.001), operative time (P = 0.020), and percutaneous nephroscope channel (P = 0.015) were associated with SIRS. The multivariable analysis showed that positive preoperative urine culture [odds ratio (OR) = 2.23, 95% confidence interval (CI): 1.18-4.24, P = 0.014] and operative methods (PCNL vs. URS, OR = 2.59, 95% CI: 1.15-5.82, P = 0.012) were independently associated with SIRS.

conclusionPositive preoperative urine culture and PCNL are independent risk factors for SIRS after endoscopic lithotripsy for upper urinary calculi.

Indexed as

Kidney CalculiLithotripsyUrinary CalculiHumansRetrospective StudiesRisk FactorsSystemic Inflammatory Response SyndromeEndoscopic lithotripsyRetrospective studyRisk factorsSystemic inflammatory response syndromeUpper urinary calculi

Identifiers

PMID37041554
PMCPMC10091591

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