Authors: Ibrahim Buldu Abdulkadir Tepeler Tuna Karatag Ekrem Ozyuvali Fatih Elbir Mustafa Yordam Ali Unsal
Publish Date: 2015/12/22
Volume: 34, Issue: 9, Pages: 1291-1295
Abstract
To investigate patient and procedurerelated factors associated with hospital readmission HR and rehospitalization following flexible ureteroscopy fURS Patients and methods The records of patients who underwent fURS for renal stones in two reference centers between 2011 and 2015 were examined retrospectively Patients who were readmitted to the hospital or rehospitalized for any reason within 30 days after hospital discharge related to the fURS procedure were evaluated The patient and procedurerelated factors affecting the readmission and rehospitalization rates were revealed using backward stepwise multiple binary logistic regression analysisThe study included 647 patients with a mean age of 461 ± 137 years The mean BMI was 273 ± 46 kg/m2 and the median ASA score was 185 The mean stone diameter was 142 ± 53 mm The mean operation and fluoroscopy times were 502 ± 169 min and 431 ± 376 s respectively The mean hospitalization time was 142 ± 084 days and the complication rate was 128 83/647 Overall 523 803 patients became stonefree while residual fragments 4 mm were detected in 73 113 patients The procedure failed in 79 of the cases While 82 127 patients were readmitted 31 48 patients were rehospitalized for further treatment Stonefree status was an independent predictor of HR while the stonefree status hospitalization time and postoperative complications all predicted rehospitalization
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