Predictors of emergency department attendance following ureterorenoscopy for urolithiasis

MacCraith, Eoin; O’Kelly, John; Ryan, James; Forde, James; Cheema, I.; McLornan, Liza; Davis, Niall F.

doi:10.1007/s11845-020-02221-7

Cited by 7 publications

(5 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, this difference was consistent across all four domains measured (social functioning, stone related impact, vitality and emotional functioning). This would be consistent with recent data from a study by Maccraith et al, which recorded that this group was most likely to have a re-admission to the emergency department after ureteroscopy (URS) [19]. Patel et al carried out a survey to explore the impact of KSD on QoL and recorded a worsening trend in females under 40 years of age [20].…”

Section: Quality Of Lifesupporting

confidence: 84%

“…As part of the evolution for patient centred and holistic care, an increasing number of studies now include quality of life (QoL) as an outcome measure [17]. Four recent studies were identified, which explored this theme [18][19][20][21]. Stern et al evaluated data from the North American Stone Quality of Life Consortium and found that younger, stone patients tolerated stone events less favourably than men [18].…”

Section: Quality Of Lifementioning

confidence: 99%

See 1 more Smart Citation

Gender Differences in Kidney Stone Disease (KSD): Findings from a Systematic Review

et al. 2021

View full text Add to dashboard Cite

Purpose of Review The prevalence of kidney stones is rising and historically carries a preponderance for males. However, recent evidence has questioned whether this gender gap is closing. The aim of this systematic review was to examine this further as well as evaluate possible underlying causes. Recent Findings Recent evidence confirms the disparity in kidney stone disease between genders is closing. In the modern era, the rise in prevalence among females has been greater, especially in adolescence. Quality of life is also more adversely affected by kidney stone events among females who are also more likely to develop sepsis after endourological surgery. Males, however, are more likely to present with stone events during periods of high ambient temperatures Summary Recent literature demonstrates a temporal change in the disease burden of KSD among men and women. The latter, especially adolescent females, are more likely to develop KSD in their lifetime compared to previous eras. Determining causation is complex and continued research is warranted.

show abstract

Section: Quality Of Lifesupporting

confidence: 84%

Section: Quality Of Lifementioning

confidence: 99%

Gender Differences in Kidney Stone Disease (KSD): Findings from a Systematic Review

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The rationale behind this is that a positive urine culture increases the risk of infection and the resulting inflammation results in an increased incidence of pain and ED attendance. 5 There was no difference in pain between drug-resistant bacteria and non-drug-resistant bacteria.…”

Section: Pre-operative Factorsmentioning

confidence: 94%

“…4 The incidence of the patient after URS visiting the emergency department (ED) for pain was 14.8%, the most common presentation. 5 Other common revisit presentations were pyrexia, urinary tract infection, and hematuria. Ahn et al reported that patients who underwent URS for ureter calculi show that acute postoperative pain (a visual analog scale of greater than or equal to 4) was related to young age, psychiatric illness, history of urinary tract infection, use of stone basket, large stone size and prolonged operative time.…”

Section: Introductionmentioning

confidence: 99%

Postoperative pain factors after ureterscopic removal of stones in kidney and ureter Authors

Chawong,

Tangpaitoon,

Liwrotsap

2022

Insight Urol

View full text Add to dashboard Cite

Objective: Postoperative wpain after ureteroscopic removal of ureter and kidney stones frequently leads to re-hospitalization, revisit and increased cost. However, risk factors and incidence for early postoperative pain are still unclear. The aim of this study is to investigate the associated risk factors and the incidence of acute postoperative pain after ureteroscopic stone removal in the ureter and kidney. Materials and Methods: Retrospective data from 306 consecutive patients who underwent ureteroscopic treatment for ureteral and kidney stones from January 2016 to December 2020 were collected. The patients were divided into two groups: (i) Mild postoperative pain (n = 179), defined as a pain score lower than four on the visual analog pain scale during the first operative day, and (ii) Moderate to severe postoperative pain (n = 127) was defined as a pain score of greater than or equal to 4 during the first operative day. Potential risk factors were included in the univariable and multivariable regression analyses to identify risk factors for developing moderate to severe pain. Results: 127 (41.5%) patients experienced moderate to severe postoperative pain on the first postoperative day. From multivariable analysis, positive pre-operative urine culture, operative time of more than 60 minutes, a stone procedure in the ureter, a postoperative stent, and ureter injury greater than grade I were related to moderate to severe pain with significance risk ratios (RR) of 2.99, 3.70, 4.87, 3.30, and 2.96, respectively (p < 0.05). Conclusion: Pain is a frequent postoperative problem associated with ureterscopic removal of stones and should be pro-actively treated with care. Patients are at a higher risk of moderate to severe pain if they required the ureteral procedure, had prolonged operative time, ureter injury after the procedure, needed a stent postoperatively, or had a history of positive preoperative urine culture.

show abstract

“…However, perioperative infection promotes a longer treatment cycle and can even lead to serious complications, such as sepsis and infective shock. (Schnabel, et al 2019, MacCraith, et al 2020) Therefore, effectively controlling infection is another challenge for urologists.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2023

Pak. J. Pharm. Sci.,

View full text Add to dashboard Cite

To investigate the distribution characteristics and antibiotic resistance patterns of uropathogens in patients with upper urinary calculi and urinary tract infections, data on sex, age, positive midstream urine culture results and drug sensitivity results were collected. The statistical program SPSS 26.0 was used for statistical analysis. Among the 1414 positive urine samples, the most common pathogens were Escherichia coli (36.4%), Enterococcus faecalis (13.8%), Staphylococcus epidermidis (7.5%), Klebsiella pneumoniae (5.0%), Streptococcus agalactiae (3.4%) and Enterococcus faecium (3.3%). The incidences of E. coli (48.6%), K. pneumoniae (6.3%) and Proteus mirabilis (4.2%) were higher in female patients than in male patients (23.2%, 3.5%, 0.6%, respectively; P<0.05). E. faecalis was detected more frequently in the young group (16.0%) than in the elderly group (11.2%; P<0.01). Most of the isolates were resistant to levofloxacin and ciprofloxacin, while few were resistant to imipenem, meropenem, cefoperazone/sulbactam, piperacillin/tazobactam and amikacin. The bacterial spectra in patients with urinary stones varied by sex and age, which should be taken into consideration during treatment. The proportion of E. faecium showed an upward trend, while those of S. epidermidis and S. agalactiae demonstrated downward trends in the study period. Regardless, carbapenems, cefoperazone/sulbactam, piperacillin/tazobactam and amikacin are good choices for serious cases.

show abstract

Predictors of emergency department attendance following ureterorenoscopy for urolithiasis

Cited by 7 publications

References 23 publications

Gender Differences in Kidney Stone Disease (KSD): Findings from a Systematic Review

Gender Differences in Kidney Stone Disease (KSD): Findings from a Systematic Review

Postoperative pain factors after ureterscopic removal of stones in kidney and ureter Authors

Untitled

Contact Info

Product

Resources

About