Factors affecting hospital readmission and rehospitalization following percutaneous nephrolithotomy

Tepeler, Abdülkadir; Karatag, Tuna; Tok, Adem; Özyuvalı, Ekrem; Buldu, İbrahim; Kardas, Sina; Kucukdagli, Okkes Taha; Ünsal, Ali

doi:10.1007/s00345-015-1641-1

Cited by 10 publications

(4 citation statements)

References 14 publications

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“…Tepeler et al found unplanned re-admission and re-hospitalization rates of 5.76 and 5.27 %, respectively, after PNL; anatomic abnormalities, postoperative complications, and stone complexity were independent predictors of unplanned re-admissions, while the duration of hospitalization and the presence of postoperative complications were associated with rehospitalization. In addition, 91.5 % (54/59) of patients re-admitted after PNL were re-hospitalized for further treatment [13]. In our study, the median re-hospitalization rate after f-URS was 4.8 % (31/647).…”

Section: Discussionmentioning

confidence: 58%

Which factors affect the hospital re-admission and re-hospitalization after flexible ureterorenoscopy for kidney stone?

et al. 2015

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Section: Discussionmentioning

confidence: 58%

Which factors affect the hospital re-admission and re-hospitalization after flexible ureterorenoscopy for kidney stone?

et al. 2015

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“…2,3 Recent trends in energy and optics, as well as miniaturization of instruments, have however rendered PNL additionally useful in the treatment of medium and small renal stones with concomitantly lower morbidity and higher stone clearance rates. 1,4 The dawn of minimally invasive endourology has seen several refinements and subsequent adoption of PNL in routine management of nephrolithiasis, a global problem with lifetime prevalence ranging up to 25%, owing to its association with reduced morbidity, convalescence, as well as recovery. 5 Furthermore, PNL, being minimally invasive, is considered a safe and reliable technique.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of the Retro-Renal Colon: A Systematic Review and Meta-Analysis with Implications for Percutaneous Nephrolithotomy

Kipkorir¹,

Cheruiyot²,

Ongidi³

et al. 2022

IJGM

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Background: This systematic review and meta-analysis aims to determine the prevalence of the retrorenal colon (RRC) and its implications in percutaneous nephrolithotomy with the overall objective of promoting the prevention of associated iatrogenic complications. Methods: A systematic search of literature was conducted on the electronic databases PubMed, ScienceDirect, and Hinari to identify studies eligible for inclusion. Search results were screened by title and abstract, and those potentially relevant were evaluated by full text. Studies were deemed eligible for inclusion if they reported clear extractable data regarding the prevalence of the retro-renal colon. A meta-analysis was completed using MetaX1 to calculate the pooled prevalence of the retro-renal colon. Sub-group analysis was performed based on geographical regions from which the studies originated, imaging modality, and patient position. Results: 174 records were screened and a total of 10 records included in the analysis with retrospective cohort studies being the most common study design. A male predominance was seen in most sample sizes that had reported data on gender demographics ranging from 41.5-62%. The most common imaging modality utilized was computerized tomography (CT) scan followed by ultrasound. The range of the unweighted prevalence of retro-renal colon across all studies that had absolute numbers reported was from 3.5-25%. One of the studies reported a colonic perforation rate of 0.3% in patients without CT images. Conclusion:The retro-renal colon is a relatively common finding with observed preponderance to females and left lateralization. The presence of RRC increases the likelihood of colon perforations while gaining percutaneous access to the kidney. Pre-procedural imaging can help detect its presence and choose an appropriate route of entry. USG and CT have both been found useful as a modality to pick up RRC.

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“…The success rate of PCNL for treating large or complex renal stones is higher than that of other minimally invasive treatments. 1,2 Due to recent advancements in PCNL techniques the complications rate has been reduced to be minimum while success rate has been increased. 3 The success rate of PCNL is measured in terms of complete clearance of renal stones.…”

Section: Introductionmentioning

confidence: 99%

Hounsfield Units (HU) as a Predictor of Stone Clearance after Percutaneous Nephrolithotomy (PCNL)

Akhtar¹,

Khan²,

Zafar³

et al. 2022

PJMHS

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Objective: To compare the outcomes of percutaneous nephrolithotomy (PCNL) in patients with renal stones with high (≥700) versus low (<700) HU. Patients and Methods: A total of 200 patients having age 18 to 60 years, with diagnosis of unilateral renal stone disease, having stone size 2 to 4 cm in diameter on non-contrast computed tomography (NCCT) of Urology Unit of Ibn e Sina Hospital and Research Institute Multan were included. The study duration was May-2021 to July-2021. NCCT was done pre-operatively in every patient to measure Hounsfield units (HU). Post-procedural X-ray KUB was done 2 weeks after the surgical procedure to determine the stone clearance in every patient. Results: Mean age was 45.79±11.17 Years. Mean duration of disease of patients included in this study was 8.78±8.59 months. Mean stone size in patients included in this study was 3.11±0.61 cm. On comparison of stone clearance rate between the patients having high-HU versus low-HU, stone clearance was found in 61 (72.6%) patients having low HU value and in 105 (90.5%) patients having high HU value (p-value 0.001). Conclusion: HU-value ≥700 is a significant predictor of success rate of percutaneous nephrolithotomy (PCNL) in patients having renal stone disease. Keywords: Renal Stone Disease, Percutaneous nephrolithotomy, Hounsfield units (HU).

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Factors affecting hospital readmission and rehospitalization following percutaneous nephrolithotomy

Cited by 10 publications

References 14 publications

Which factors affect the hospital re-admission and re-hospitalization after flexible ureterorenoscopy for kidney stone?

Which factors affect the hospital re-admission and re-hospitalization after flexible ureterorenoscopy for kidney stone?

Prevalence of the Retro-Renal Colon: A Systematic Review and Meta-Analysis with Implications for Percutaneous Nephrolithotomy

Hounsfield Units (HU) as a Predictor of Stone Clearance after Percutaneous Nephrolithotomy (PCNL)

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