ArticleWorld journal of nephrology2025
Urological and nursing-related predictors of unplanned hospital readmission after percutaneous nephrolithotomy: A prospective cohort study.
Article in World journal of nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Perioperative predictors of urinary tract infections after percutaneous nephrolithotomy.World journal of nephrology · 2026Article
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5 authors.
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Abstract
backgroundPercutaneous nephrolithotomy (PNL) is the standard treatment for medium-sized and large kidney stones. Many potential complications of PNL may warrant hospital readmission (HR) after discharge, threatening patient safety and increasing the costs.
aimTo estimate the rate of unplanned HR after PNL and identify its urological and nursing-related predictors.
methodsOne hundred sixty-one patients were prospectively studied for HR after PNL from April 2022 to December 2022. The relevant urological and nursing-related characteristics of patients with and without unplanned HR after PNL were studied for association with HR, using univariate and multivariate analyses. Variables such as the demographic characteristics, comorbidities, laboratory and imaging characteristics, dietary status, operative time, number of kidney punctures, blood loss, urinary tract infections, and the receipt of instructions for catheter care and activities of daily living were included. A risk score was created.
resultsThe mean age of patients with HR (44.4 ± 12.7 years) and without HR (43.9 ± 12.6 years) was similar (
conclusionThe rate of unplanned HR after PNL was relatively high (22.4%). The presence of pus cells in the preoperative urine analysis, intraoperative injury, and receiving inadequate instructions on urethral catheter care were independent predictors of HR after PNL. Combined studying of the urological and nursing-related predictors may promote the implementation of enhanced recovery protocols after PNL.
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