title: Effectiveness of early ureteric stenting for urosepsis associated with urinary tract calculi.
abstract: OBJECTIVE
  Patients with urosepsis associated with urinary tract calculi occasionally require drainage, primarily via ureteric stenting. Such patients require longer hospitalization. However, the indications for early ureteric stenting for this condition have not been clearly defined. To compare the length of stay (LOS) in the hospital between patients treated with earlier ureteric stenting versus those with delayed ureteric stenting.
  
  
  METHODS
  Design: Retrospective cohort study. Setting: An acute care teaching hospital in Japan.
  
  
  METHODS
  Length of hospital stay in days. Patients Patients with urosepsis associated with urinary tract calculi.
  
  
  RESULTS
  Among a total of 30 patients (mean age, 72; 13 men), the mean number of days from emergency room admission to ureteric stenting was 3.5 days (range, 1-14 days), and the overall mean LOS was 36 days (range, 8-102 days). The early stenting group (mean LOS, 21 days) had a significantly shorter LOS than the delayed stenting group (mean LOS, 50 days), with an adjusted beta coefficient of -26 days [95% confidence interval (CI), -46, -6].
  
  
  CONCLUSIONS
  In patients with urosepsis associated with urinary tract calculi, performing early stenting within two days of admission may reduce the LOS in the hospital.
authors.affiliation: Department of General Internal Medicine, Shonan Kamakura General Hospital, Japan.
authors.forename: Sho
authors.initials: S
authors.lastname: Nishiguchi
authors.forename: Joel
authors.initials: J
authors.lastname: Branch
authors.forename: Yu
authors.initials: Y
authors.lastname: Suganami
authors.forename: Izumi
authors.initials: I
authors.lastname: Kitagawa
authors.forename: Yasuharu
authors.initials: Y
authors.lastname: Tokuda
mesh_terms: D000368:Aged; D015331:Cohort Studies; D004322:Drainage / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D018805:Sepsis / Q000209:etiology / Q000601:surgery*; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D014514:Ureteral Calculi / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014552:Urinary Tract Infections / Q000209:etiology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*