Nationwide Readmission Rates Following Percutaneous Nephrolithotomy: Does Age Matter?

Johnston, Ashley W.; Jiang, Ruiyang; Alkazemi, Muhammad H.; Wolf, Steven; Pomann, Gina‐Maria; Lipkin, Michael; Scales, Charles D.; Routh, Jonathan C.

doi:10.1089/end.2019.0239

Cited by 5 publications

(1 citation statement)

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“…This also occurs in areas with underdeveloped medical resources. Therefore, when kidney stones need to be treated, they have usually been allowed the time to grow large; Ashley compared PCNL complications in different age groups and found that the incidence of readmission and complications was higher in the elderly than in the young [ 2 ]; thus, PCNL for elderly patients is typically challenging [ 3 ]. Therefore, in this study, we retrospectively analyzed the efficacy and safety of PCNL in elderly patients (aged ≥ 70 years) to aid urologists to the correctly estimate the outcomes of PCNL in elderly patients.…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of percutaneous nephrolithotripsy in elderly patients: a retrospective study

Xu³

et al. 2022

BMC Surg

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Background Percutaneous nephrolithotripsy (PCNL) is difficult to perform for elderly patients; thus, this study aimed to assess its efficacy and safety in elderly patients aged > 70 years, note any associations between outcomes and patient characteristics, and summarize relevant themes and observations. Methods Data from patients older than 70 years who had undergone PCNL for upper urinary tract calculi between January 2016 and January 2021 was retrospectively analyzed. Risk factors for postoperative complications and residual stones were analyzed using multivariate logistic regression. Results A total of 116 elderly patients underwent 122 PCNL operations, of which six underwent secondary PCNL operations, and all of which were successfully completed. The average age was 74.6 ± 4.3 years; the average stone size and operation time were 3.5 ± 1.8 (1.2–11 cm), and 71.8 ± 34.1 min, respectively. Of the participants, 16 or 13.8% had postoperative complications and 29 (25%) had residual stones after operation. The stone free rate was 75%. Multivariate analysis revealed that an American Score of Anesthesiology III was an independent risk factor for postoperative complications (odds ratio [OR] = 4.453, p = 0.031), and staghorn calculi were independent risk factors for postoperative residual calculi (OR = 31.393, p = 0.001). Conclusion PCNL was shown to be safe and effective for elderly patients aged > 70 years. Further, ASA III was an independent risk factor for postoperative complications, and staghorn calculi were independent risk factors for postoperative residual calculi in elderly patients.

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Section: Introductionmentioning

confidence: 99%