title: The Evaluation of Risk Factors for Postoperative Infectious Complications after Percutaneous Nephrolithotomy.
abstract: This study was to evaluate the risk factors of infectious complications after percutaneous nephrolithotomy (PCNL) and build a prediction tool for postoperative complications based on the risk factors. A total of 110 male (67.1%) and 54 female (32.9%) patients who underwent PCNL for renal stones between 2010 and 2014 in our institute were included. A detailed clinical information and laboratory results were obtained from patients. Systemic inflammatory response syndrome (SIRS) and postoperative fever were recorded after PCNL surgery. In all, 45 cases (27.4%) developed SIRS and fever was observed in 20 cases (12.2%). In multivariate analysis, stone size (odds ratio, OR = 1.471,p= 0.009) and urine white blood cell (WBC) (OR = 1.001,p= 0.007) were related to the development of SIRS. Stone size (OR = 1.644,p= 0.024), urine WBC (OR = 1.001,p= 0.002) and serum albumin (OR = 0.807,p= 0.021) were associated with postoperative fever. We concluded that patients with larger stone size and preoperative urinary tract infection might have a higher risk of developing SIRS and fever after operation, while a high-normal level of serum albumin might be the protective factor for postoperative fever.
authors.affiliation: Fudan Institute of Urology, Huashan Hospital, Fudan University, Shanghai, China; Department of Urology, Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Tian
authors.initials: T
authors.lastname: Yang
authors.affiliation: Fudan Institute of Urology, Huashan Hospital, Fudan University, Shanghai, China; Department of Urology, Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Shenghua
authors.initials: S
authors.lastname: Liu
authors.affiliation: Fudan Institute of Urology, Huashan Hospital, Fudan University, Shanghai, China; Department of Urology, Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Jimeng
authors.identifier: 0000-0002-0386-7756
authors.initials: J
authors.lastname: Hu
authors.affiliation: Fudan Institute of Urology, Huashan Hospital, Fudan University, Shanghai, China; Department of Urology, Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Lujia
authors.initials: L
authors.lastname: Wang
authors.affiliation: Fudan Institute of Urology, Huashan Hospital, Fudan University, Shanghai, China; Department of Urology, Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Haowen
authors.identifier: 0000-0003-4890-6779
authors.initials: H
authors.lastname: Jiang
mesh_terms: D000328:Adult; D003141:Communicable Diseases / Q000150:complications; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D007669:Kidney Calculi / Q000628:therapy*; D007962:Leukocytes; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D015999:Multivariate Analysis; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects*; D016017:Odds Ratio; D011183:Postoperative Complications / Q000209:etiology*; D011184:Postoperative Period; D011237:Predictive Value of Tests; D057234:Preoperative Period; D012307:Risk Factors; D012709:Serum Albumin / Q000378:metabolism; D018746:Systemic Inflammatory Response Syndrome / Q000209:etiology*; D014552:Urinary Tract Infections / Q000150:complications
chemical_list: D012709:Serum Albumin