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The Predictive Factors for Readmission and Rehospitalization After Retrograde Intrarenal Surgery: The Results of RIRSearch Study Group.
Dogan, Cagri; Yazici, Cenk Murat; Akgul, Haci Murat; Ozman, Oktay; Basatac, Cem; Cinar, Onder; Siddikoglu, Duygu; Cakir, Hakan; Elmaagac, Burak; Sancak, Eyup Burak; Onal, Bulent; Akpinar, Haluk.
Afiliación
  • Dogan C; Department of Urology, Namik Kemal University Faculty of Medicine, Tekirdag, Turkey.
  • Yazici CM; Department of Urology, Namik Kemal University Faculty of Medicine, Tekirdag, Turkey.
  • Akgul HM; Department of Urology, Namik Kemal University Faculty of Medicine, Tekirdag, Turkey.
  • Ozman O; Gaziosmanpasa Training and Research Hospital Clinic of Urology, Istanbul, Turkey.
  • Basatac C; Group Florence Nightingale Hospitals Clinic of Urology, Istanbul, Turkey.
  • Cinar O; Department of Urology, Zonguldak Bulent Ecevit University School of Medicine, Zonguldak, Turkey.
  • Siddikoglu D; Department of Biostatistics, Canakkale Onsekiz Mart University School of Medicine, Canakkale, Turkey.
  • Cakir H; Acibadem Fulya Hospital Clinic of Urology, Istanbul, Turkey.
  • Elmaagac B; Acibadem Hospital Clinic of Urology, Eskisehir, Turkey.
  • Sancak EB; Department of Urology, Canakkale Onsekiz Mart University School of Medicine, Canakkale, Turkey.
  • Onal B; Department of Urology, Istanbul University-Cerrahpasa Medical Faculty, Istanbul, Turkey.
  • Akpinar H; Group Florence Nightingale Hospitals Clinic of Urology, Istanbul, Turkey.
J Endourol ; 36(1): 56-64, 2022 01.
Article en En | MEDLINE | ID: mdl-34235975
Purpose: Retrograde intrarenal surgery (RIRS) is a safe and effective treatment option for upper urinary tract stones smaller than 2 cm. Although several studies have documented perioperative and postoperative complications related to RIRS, there exists limited data regarding the readmission and rehospitalization of patients after RIRS. The aims of the study were to document the rates of readmission and rehospitalization after RIRS and to determine the predictive factors for readmission and rehospitalization. Materials and Methods: In this study, we retrospectively analyzed patients who underwent RIRS for the treatment of renal stone disease and were unexpectedly readmitted to the hospital within 30 days after discharge. The hospital admission systems were used to determine readmissions and rehospitalizations. Readmission and rehospitalization rates, causes, and treatment procedures were evaluated. Univariate and multivariate analyses of clinicodemographic properties were performed to evaluate possible predictive factors for readmission and rehospitalization after RIRS. Results: A total of 1036 patients were included in the study. Of these patients, 103 (9.9%) were readmitted to the hospital. Among these readmissions, 35 patients (33.9%) were rehospitalized and 14 (13.6%) underwent surgical intervention. The most common reasons for readmission were renal colic and fever. The presence of preoperative pyuria (odds ratio [OR] 1.86), stone volume (OR 1.54), postoperative complications (OR 3.66), and stone-free status (OR 0.46) were predictive factors for readmission, whereas hospitalization time (OR 1.32), postoperative complications (OR 9.70), and stone-free status (OR 0.06) were predictive factors for rehospitalization after RIRS. Conclusion: Nearly 10% of patients who underwent RIRS were readmitted to the hospital within the first month after discharge, and some were rehospitalized. Preoperative pyuria, high stone volume, presence of postoperative complications, and low stone-free status predicted this readmission and rehospitalization. Clinicians must recognize these predictive factors and inform their patients about this possibility.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Piuria / Cálculos Renales Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: J Endourol Asunto de la revista: UROLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Piuria / Cálculos Renales Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: J Endourol Asunto de la revista: UROLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Estados Unidos