Predictive factors for mortality and intensive care unit admission in patients with emphysematous pyelonephritis: 5-year experience in a tertiary care hospital

Emphysematous pyelonephritis is a life-threatening infection of the kidney and surrounding tissues associated with a high mortality rate. The aim of this study was to determine predictive factors for mortality and intensive care unit admission in patients with emphysematous pyelonephritis, and to pr...

Full description

Saved in:
Bibliographic Details
Published in:Actas urológicas españolas (English ed.) 2022-03, Vol.46 (2), p.98-105
Main Authors: Arrambide-Herrera, J.G., Robles-Torres, J.I., Ocaña-Munguía, M.A., Romero-Mata, R., Gutiérrez-González, A., Gómez-Guerra, L.S.
Format: Article
Language:English
Subjects:
Adult
Aged
Emphysema - epidemiology
Emphysema - etiology
Emphysema - therapy
Emphysematous pyelonephritis
Female
Humans
Hypoalbuminemia - complications
Intensive care unit
Intensive Care Units
Male
Middle Aged
Mortalidad
Mortality
Nefrectomía
Nephrectomy
Pielonefritis enfisematosa
Prognosis
Pronóstico
Pyelonephritis - epidemiology
Pyelonephritis - therapy
Retrospective Studies
Tertiary Care Centers
Unidad de cuidados intensivos
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Emphysematous pyelonephritis is a life-threatening infection of the kidney and surrounding tissues associated with a high mortality rate. The aim of this study was to determine predictive factors for mortality and intensive care unit admission in patients with emphysematous pyelonephritis, and to propose a therapeutic algorithm based on current literature and our experience. A retrospective study was done including patients with emphysematous pyelonephritis in a single center in the north of Mexico from 2011 to 2016. Demographic, clinical, microbiological and biochemical parameters, therapeutic management, and outcomes were assessed. Factors associated with admission to intensive care unit and mortality were determined. Comparison was assessed using X2 test for categorical variables, and T-test for numerical variables. Univariate and multivariate logistic regression analyses were performed. Statistical significance was set at P 
ISSN:2173-5786
2173-5786
DOI:10.1016/j.acuroe.2021.01.010