MP21-17 HIGH PREVALENCE OF STONE DISEASE BURDEN AND TREATMENT DISPARITIES AMONG MENTAL HEALTH PATIENTS

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP21-17 HIGH PREVALENCE OF STONE DISEASE BURDEN AND TREATMENT DISPARITIES AMONG MENTAL HEALTH PATIENTS Ahmed El-shafie, Victor Chalfant, Carlos Riveros, Allison H. Feibus, Mohammed Al-Toubat, Devon Thomas, Robert A. Marino, Joseph Costa, and K.C. Balaji Ahmed El-shafieAhmed El-shafie More articles by this author , Victor ChalfantVictor Chalfant More articles by this author , Carlos RiverosCarlos Riveros More articles by this author , Allison H. FeibusAllison H. Feibus More articles by this author , Mohammed Al-ToubatMohammed Al-Toubat More articles by this author , Devon ThomasDevon Thomas More articles by this author , Robert A. MarinoRobert A. Marino More articles by this author , Joseph CostaJoseph Costa More articles by this author , and K.C. BalajiK.C. Balaji More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003246.17AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Mental illness and brain disorders such as dementia are commonly encountered in patients with cognitive impairment in urology. In this cohort study, we assessed the prevalence and outcomes of inpatient admissions for stone disease in patients with cognitive impairment (CI). METHODS: Using the National Inpatient Sample Database, we identified adults (>18 years) diagnosed with stone disease between 2015 and 2019. The study cohort was dichotomized based on the presence or absence of CI. The CI cohort was further divided based on ICD-10 codes into 3 major categories: depression, psychosis, and dementia. Urinary complications were defined as either UTI, acute renal failure, or systemic sepsis. Hospital course and complications were compared between groups. We evaluated independent factors associated with urinary complications in the population using multivariable logistic regression. Analyses were conducted using SPSS version 28.0 and R version 4.1.0. RESULTS: We identified 223,072 patients in our study cohort. Patients with CI were significantly older (68 vs. 62 years, p<0.001), and more likely to be female (55.7% vs. 47.4%), have government-issued insurance (77.5% vs. 64.4%), and be discharged to a nursing facility (31.7% vs. 14.2%). Patients with CI had significantly higher rates of UTIs (29.7% vs. 21.5%, p <0.001), systemic sepsis (4.3% vs. 3.8%, p <0.001), and acute renal failure ((0.9% vs. 0.7%, p=0.008). On regression models, patients with female sex, low income, and CI were all independently more likely to experience a urinary complication, with significant differences (p<0.001) (Table 1). CONCLUSIONS: Patients with CI and stone disease are significantly more likely to experience urinary complications. Health care inequities among CI patients should be a topic of further study. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e292 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ahmed El-shafie More articles by this author Victor Chalfant More articles by this author Carlos Riveros More articles by this author Allison H. Feibus More articles by this author Mohammed Al-Toubat More articles by this author Devon Thomas More articles by this author Robert A. Marino More articles by this author Joseph Costa More articles by this author K.C. Balaji More articles by this author Expand All Advertisement PDF downloadLoading ...