دورية أكاديمية
Risk factors and prediction model for postoperative complications in patients with struvite stones after percutaneous nephrolithotomy and flexible ureteroscopy.
| العنوان: | Risk factors and prediction model for postoperative complications in patients with struvite stones after percutaneous nephrolithotomy and flexible ureteroscopy. |
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| المؤلفون: | Tian C; Department of Urology, Peking University People's Hospital, 11 Xizhimen South Street, Xicheng District, Beijing, 100034, People's Republic of China.; Peking University Applied Lithotripsy Institute, Peking University, Beijing, 100034, People's Republic of China., Qiao J; Department of Urology, Peking University People's Hospital, 11 Xizhimen South Street, Xicheng District, Beijing, 100034, People's Republic of China.; Peking University Applied Lithotripsy Institute, Peking University, Beijing, 100034, People's Republic of China., An L; Department of Urology, Peking University People's Hospital, 11 Xizhimen South Street, Xicheng District, Beijing, 100034, People's Republic of China.; Peking University Applied Lithotripsy Institute, Peking University, Beijing, 100034, People's Republic of China., Hong Y; Department of Urology, Peking University People's Hospital, 11 Xizhimen South Street, Xicheng District, Beijing, 100034, People's Republic of China.; Peking University Applied Lithotripsy Institute, Peking University, Beijing, 100034, People's Republic of China., Xu Q; Department of Urology, Peking University People's Hospital, 11 Xizhimen South Street, Xicheng District, Beijing, 100034, People's Republic of China.; Peking University Applied Lithotripsy Institute, Peking University, Beijing, 100034, People's Republic of China., Xiong L; Department of Urology, Peking University People's Hospital, 11 Xizhimen South Street, Xicheng District, Beijing, 100034, People's Republic of China.; Peking University Applied Lithotripsy Institute, Peking University, Beijing, 100034, People's Republic of China., Huang X; Department of Urology, Peking University People's Hospital, 11 Xizhimen South Street, Xicheng District, Beijing, 100034, People's Republic of China.; Peking University Applied Lithotripsy Institute, Peking University, Beijing, 100034, People's Republic of China., Liu J; Department of Urology, Peking University People's Hospital, 11 Xizhimen South Street, Xicheng District, Beijing, 100034, People's Republic of China. hmuliujun@163.com.; Peking University Applied Lithotripsy Institute, Peking University, Beijing, 100034, People's Republic of China. hmuliujun@163.com. |
| المصدر: | World journal of urology [World J Urol] 2024 Sep 02; Vol. 42 (1), pp. 501. Date of Electronic Publication: 2024 Sep 02. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer International Country of Publication: Germany NLM ID: 8307716 Publication Model: Electronic Cited Medium: Internet ISSN: 1433-8726 (Electronic) Linking ISSN: 07244983 NLM ISO Abbreviation: World J Urol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Berlin ; New York] : Springer International, 1983- |
| مواضيع طبية MeSH: | Nephrolithotomy, Percutaneous*/adverse effects , Nephrolithotomy, Percutaneous*/methods , Postoperative Complications*/etiology , Postoperative Complications*/epidemiology , Postoperative Complications*/diagnosis , Ureteroscopy*/adverse effects , Kidney Calculi*/surgery , Struvite* , Nomograms*, Humans ; Female ; Retrospective Studies ; Middle Aged ; Male ; Risk Factors ; Adult ; Aged ; Risk Assessment |
| مستخلص: | Objective: To analyze the risk factors for complications in patients with struvite stones following percutaneous nephrolithotomy (PCNL) or flexible ureteroscopy (fURS), and to establish a nomogram for postoperative complications in patients following PCNL. Methods: A retrospective analysis was conducted on patients with struvite stones after PCNL and fURS at the Department of Urology, Peking University People's Hospital, from January 2012 to March 2022. The common pathogens and antimicrobial susceptibilities in preoperative midstream urine culture were analyzed. Logistic regression analyses were used to evaluate the risk factors. Receiver-operating characteristic (ROC) curve, calibration plots, and decision curve analysis (DCA) were used to assess the discrimination, accuracy, and practicability of the nomogram. Results: 332 patients with struvite stones received one-stage PCNL or fURS, including 243 cases of PCNL and 89 cases of fURS. 72 patients (21.69%) developed postoperative complications. The most common pathogens in preoperative urine cultures were Escherichia coli, Proteus mirabilis, and Enterococcus faecalis. Multivariate logistic regression analysis showed that preoperative hemoglobin (OR = 0.981, P = 0.042), staghorn stone (OR = 4.226, P = 0.037), and positive preoperative midstream urine culture (OR = 2.000, P = 0.043) were independent risk factors for postoperative complications in patients following PCNL. The nomogram showed good performance in discrimination, accuracy, and applicability. Conclusion: Preoperative hemoglobin, staghorn stone, and positive preoperative midstream urine culture were independent risk factors for postoperative complications in patients with struvite stones following PCNL. A nomogram was developed to predict the probability of postoperative complications. (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.) |
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| معلومات مُعتمدة: | RDY 2021-21 Peking University People's Hospital; RDE2023-11 Peking University People's Hospital; BHTPP2022082 Beijing Health Technologies Promotion Program |
| فهرسة مساهمة: | Keywords: Complication; Flexible ureteroscopy; Percutaneous nephrolithotomy; Struvite stone; Urinary calculi |
| المشرفين على المادة: | AW3EJL1462 (Struvite) |
| تواريخ الأحداث: | Date Created: 20240902 Date Completed: 20240902 Latest Revision: 20240902 |
| رمز التحديث: | 20240903 |
| DOI: | 10.1007/s00345-024-05206-8 |
| PMID: | 39222253 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1433-8726 |
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| DOI: | 10.1007/s00345-024-05206-8 |