Low Body Mass Index as a Predictive Factor for Postoperative Infectious Complications after Ureterorenoscopic Lithotripsy
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients
2.2. URSL Technique
2.3. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Covariates | Patients without POF (n = 559) | Patients with POF (n = 35) | p Value |
---|---|---|---|
Age (years, median, IQR) | 61 (50–70) | 71 (58–81) | 0.003 |
Gender (number, %) | 0.001 | ||
Male | 370 (66.2) | 13 (37.1) | |
Female | 189 (33.8) | 22 (62.9) | |
Body mass Index (kg/m2, median, IQR) | 23.9 (21.5–26.8) | 21.2 (19.0–24.3) | 0.002 |
Bacteriuria (number, %) | 0.473 | ||
Negative | 131 (23.4) | 4 (20.0) | |
Positive | 145 (26.0) | 21 (51.4) | |
Unknown | 283 (50.6) | 10 (28.6) | |
Antibiotics use before surgery (number, %) | 33 (5.9) | 7 (20) | <0.001 |
Diabetes Mellitus (number, %) | 79 (14.1) | 8 (22.9) | 0.157 |
Hypertension (number, %) | 224 (40.1) | 10 (28.6) | 0.177 |
Stone location (number, %) | 0.023 | ||
Kidney | 58 (10.4) | 8 (22.9) | |
Ureter | 501 (89.6) | 27 (72.1) | |
Stone size (mm, median, IQR) | 9.7 (7.0–12.0) | 10.0 (7.3–14.9) | 0.229 |
Number of stones | 0.345 | ||
1 | 443 (75.7) | 24 (68.6) | |
≥2 | 136 (24.3) | 11 (31.4) | |
Indwelling of ureter stent before surgery (number, %) | 154 (27.5) | 20 (57.1) | <0.001 |
Initial laboratory data | |||
Leucocyte count (/μL, median, IQR) | 6290 (5105–7630) | 6400 (5050–7425) | 0.760 |
Platelet count (×102/μL, median, IQR) | 23.5 (19.8–27.8) | 22.9 (16.7–28.0) | 0.276 |
CRP (mg/dL, median, IQR) | 0.18 (0.05–0.67) | 0.57 (0.01–1.90) | 0.017 |
Operation duration (minutes, median, IQR) | 52 (35.3–75.8) | 66 (31.5–101.5) | 0.140 |
Residual stone (number, %) | 58 (10.4) | 3 (8.6) | 0.733 |
Risk Factors | p Value | Odds Ratio | 95% CI |
---|---|---|---|
Body mass index | 0.042 | 0.903 | 0.819–0.996 |
Stone location | 0.053 | 2.412 | 0.990–5.873 |
Gender | 0.068 | 0.495 | 0.232–1.054 |
CRP | 0.089 | 1.094 | 0.986–1.214 |
Indwelling ureter stent before surgery | 0.115 | 0.530 | 0.240–1.167 |
Age | 0.200 | 1.018 | 0.991–1.045 |
Antibiotics use before surgery | 0.317 | 0.601 | 0.222–1.628 |
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Seike, K.; Ishida, T.; Taniguchi, T.; Fujimoto, S.; Kato, D.; Takai, M.; Iinuma, K.; Nakane, K.; Uno, H.; Tamaki, M.; et al. Low Body Mass Index as a Predictive Factor for Postoperative Infectious Complications after Ureterorenoscopic Lithotripsy. Medicina 2021, 57, 1100. https://doi.org/10.3390/medicina57101100
Seike K, Ishida T, Taniguchi T, Fujimoto S, Kato D, Takai M, Iinuma K, Nakane K, Uno H, Tamaki M, et al. Low Body Mass Index as a Predictive Factor for Postoperative Infectious Complications after Ureterorenoscopic Lithotripsy. Medicina. 2021; 57(10):1100. https://doi.org/10.3390/medicina57101100
Chicago/Turabian StyleSeike, Kensaku, Takashi Ishida, Tomoki Taniguchi, Shota Fujimoto, Daiki Kato, Manabu Takai, Koji Iinuma, Keita Nakane, Hiromi Uno, Masayoshi Tamaki, and et al. 2021. "Low Body Mass Index as a Predictive Factor for Postoperative Infectious Complications after Ureterorenoscopic Lithotripsy" Medicina 57, no. 10: 1100. https://doi.org/10.3390/medicina57101100