The Risk Factors of Unplanned Hospital Readmission Following Percutaneous Nephrolithotomy

Objective: Percutaneous nephrolithotomy (PNL) is currently recommended as the first treatment option for complex kidney stones larger than 2 cm. Although it is a safe and effective treatment, emergency room admissions and hospitalisations occur because of PNL complications. This study aimed to exami...

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Bibliographic Details
Published in:Journal of academic research in medicine 2021-04, Vol.11 (1), p.69-74
Main Authors: Danacioglu, Yavuz Onur, Ozlu, Deniz Noyan, Akkas, Fatih, Yenice, Mustafa Gurkan, Tasci, Ali ihsan
Format: Article
Language:English
Subjects:
Blood transfusions
Cardiovascular disease
Complications
Complications and side effects
Demographic aspects
Gender
Health care
Hemophilia
Hospital care
Hospitals
Lithotripsy
Percutaneous nephrostomy
Postoperative period
Quality of life
Regression analysis
Risk factors
Statistical analysis
Surgery
Urine
Urology
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Summary:Objective: Percutaneous nephrolithotomy (PNL) is currently recommended as the first treatment option for complex kidney stones larger than 2 cm. Although it is a safe and effective treatment, emergency room admissions and hospitalisations occur because of PNL complications. This study aimed to examine patient-related independent risk factors that may cause unplanned hospital readmission after PNL. Methods: Data of patients who were admitted to our clinic due to upper urinary system calculi and underwent conventional PNL operation between January 2015 and December 2019 were evaluated retrospectively. Hospital readmission was defined as unscheduled rehospitalisation within 30 days after discharge. The study cohort was divided into two groups: the readmission (group A) and non-readmission groups (group B). Post-operative complication scoring was performed according to the Clavien-Dindo classification. Multivariate logistic regression analysis was used to evaluate independent prognostic risk factors on readmission after PNL. Results: A total of 390 patients were included in our study. Of patients, 24 (6.1%) were readmitted to our clinic in the post-operative period. Gender, age, body mass index and stone volume were statistically similar between the groups. Based on multivariate analysis, the presence of Clavien 3a and 3b complications, post-operative blood transfusion, presence of preoperative hydronephrosis, American Society of Anaesthesiologist score and low stone density (
ISSN:2146-6505
2147-1894
DOI:10.4274/jarem.galenos.2021.3915