Iatrogenic Bladder Injury: National Analysis of 30-Day Outcomes

Cohen, Andrew J.; Packiam, Vignesh T.; Nottingham, Charles U.; Pariser, Joseph J.; Faris, Sarah; Bales, Gregory T.

doi:10.1016/j.urology.2016.05.002

Cited by 17 publications

(9 citation statements)

References 24 publications

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“…The current study included both open and laparoscopic techniques for gynecologic diseases, whereas the former study did not include cases with a laparoscopic approach . The incidence of bladder injury in our study is consistent with that reported in abdominopelvic surgery from the largest national series performed in the United States, published in 2016 …”

Section: Discussionsupporting

confidence: 90%

“…2 The incidence of bladder injury in our study is consistent with that reported in abdominopelvic surgery from the largest national series performed in the United States, published in 2016. 13 A laparoscopic approach is believed to contribute to ureteric injury during gynecologic surgery. 7,9 Although we found a higher incidence of ureteric injuries during laparoscopic surgery compared with open surgery, there was no indication to suggest that the laparoscopic approach was a risk factor for urologic injury.…”

Section: Discussionmentioning

confidence: 99%

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Urologic injuries during gynecologic surgery, a 10‐year review

Satitniramai

Manonai

2017

J of Obstet and Gynaecol

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Urologic injuries during gynecologic surgery, a 10‐year review

Satitniramai

Manonai

2017

J of Obstet and Gynaecol

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“…Detection of a bladder injury prior to discharge was thought to be only possible in the case of abdominal hysterectomy, after which a patient would typically remain hospitalized for at least 2 nights. 6 In this scenario, the typical patient would present with peritonitis on the second postoperative day, be diagnosed with computed tomography (CT) scan, and return to the operating room on the AJOG at a Glance Why was this study conducted? To assess the costs of 3 distinct approaches to cystoscopy at the time of hysterectomy.…”

Section: Methodsmentioning

confidence: 99%

Cystoscopy at the time of benign hysterectomy: a decision analysis

Cadish

Ridgeway

Shepherd

2019

American Journal of Obstetrics and Gynecology

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“…All the variables were explainable according to our clinical experience. For instance, decreased renal function (elevated BUN and SCr) contributes to immunocompromised status through retention of uremic toxins and malnutrition, hence, increases development of infection and sepsis ( 36 , 37 ). We also found that poor GLU control (preoperative GLU > 10 mmol/L) ( 38 ) was a risk factor of sepsis and this might be attributed to the effect of glycemia on altering the immune system through decrease of secretion of inflammatory cytokines, depression in neutrophils and T cells function, resulting in the risk for infection and delaying the recovery from infection ( 39 ).…”

Section: Discussionmentioning

confidence: 99%

Tree-based, two-stage risk factor analysis for postoperative sepsis based on Sepsis-3 criteria in elderly patients: A retrospective cohort study

Peng

Chen

et al. 2022

Front. Public Health

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BackgroundSepsis remains the leading cause of postoperative death in elderly patients and is defined as organ dysfunction with proven or suspected infection according to Sepsis-3 criteria. To better avoid potential non-linear associations between the risk factors, we firstly used a tree-based analytic methods to explore the putative risk factors of geriatric sepsis based on the criteria in the study.MethodsData of 7,302 surgical patients aged ≥ 65 years at the Third Affiliated Hospital of Sun Yat-sen University from January 2015 to September 2020 were collected. An analytic method that combined tree-based analysis with the method of Mantel-Haenszel and logistic regression was adopted to assess the association between 17 putative risk factors and postoperative sepsis defined by the Sepsis-3 guideline by controlling 16 potential confounding factors.ResultsAmong the 16 potential covariates, six major confounders were statistically identified by the tree-based model, including cerebrovascular diseases, preoperative infusion of red blood cells, pneumonia, age ≥ 75, malignant tumor and diabetes. Our analysis indicated that emergency surgery increases the risk of postoperative sepsis in elderly patients by more than six times. The type of surgery is also a crucial risk factor for sepsis, particularly transplantation and neurosurgery. Other risk factors were duration of surgery > 120 min, administration of steroids, hypoalbuminemia, elevated creatinine, blood urea nitrogen, hematocrit, platelets, glucose, white blood cell count, abnormal neutrophil-to-lymphocyte ratio and elevated hsCRP-to-albumin ratio.ConclusionsOur study uses an effective method to explore some risk factors for postoperative sepsis in elderly by adjusting many potential confounders and it can provide information for intervention design.

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Iatrogenic Bladder Injury: National Analysis of 30-Day Outcomes

Cited by 17 publications

References 24 publications

Urologic injuries during gynecologic surgery, a 10‐year review

Urologic injuries during gynecologic surgery, a 10‐year review

Cystoscopy at the time of benign hysterectomy: a decision analysis

Tree-based, two-stage risk factor analysis for postoperative sepsis based on Sepsis-3 criteria in elderly patients: A retrospective cohort study

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