Evidence map›Paper›PMID 39499022›Full record

ArticleUrology research & practice2024

Scoring System to Personalize Management of Emphysematous Pyelonephritis.

Ankur Mittal, Deepak Kumar, Vikas Kumar Panwar, Rohit Ranjan, Shiv Charan Navriya, Akshay Upadhyaya, Harshit Agarwal, Gautam Shubhankar, Arup Kumar Mandal

Abstract read
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Article in Urology research & practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ankur MittalDepartment of Urology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Deepak KumarDepartment of Urology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Vikas Kumar PanwarDepartment of Urology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Rohit RanjanDepartment of Urology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Shiv Charan NavriyaDepartment of Urology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Akshay UpadhyayaDepartment of Urology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Harshit AgarwalDepartment of Urology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Gautam ShubhankarDepartment of Urology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Arup Kumar MandalDepartment of Urology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Emphysematous pyelonephritis (EPN) is a life-threatening condition that requires prompt diagnosis and treatment. The prognosis of EPN is variable, and there is no single treatment that is universally effective. Materials and Methods: In this study, we developed a scoring system to predict the prognosis of EPN and to guide management. The scoring system was developed based on a retrospective analysis of 91 patients with EPN. Nineteen risk factors for emphysematous pyelonephritis were assessed with univariate and multivariate analysis. Results: Seven factors were found significant on analysis. The scoring system was developed by including these 7 risk factors: renal stone disease, leukocytosis, raised creatinine, EPN grade, and septic shock. The score ranged from 1 to 18, with a higher score indicating a worse prognosis. The scoring system was able to stratify patients into three risk groups: good risk, intermediate risk, and poor risk. The scoring system can be used to personalize the management of EPN. Patients in the good-risk group may be managed with conservative treatment, while patients in the intermediate-risk and poor-risk groups may require intervention, such as DJ stenting, percutaneous nephrolithotomy or nephrectomy. The scoring system is a valuable tool for predicting the prognosis of EPN and guiding management. It can help clinicians to tailor treatment to the individual patient and to improve outcomes. Conclusion: The prognostic score helps identify patients who are at high risk. This score helps in the selection of appropriate management options.

Indexed as

mortalityprognosisPyelonephritisrisk factorstreatment outcome

Identifiers

PMID39499022
PMCPMC11562922

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