MP23-04 IMPACT OF THE TIMING OF PERCUTANEOUS NEPHROSTOMY ON THE PROGNOSIS IN PATIENTS WITH OBSTRUCTIVE UROLITHIASIS WITH SEPSIS

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP23-04 IMPACT OF THE TIMING OF PERCUTANEOUS NEPHROSTOMY ON THE PROGNOSIS IN PATIENTS WITH OBSTRUCTIVE UROLITHIASIS WITH SEPSIS Ji Eun Yu, Ye Chan Joo, Young Seop Chang, Jin Bum Kim, Hong Wook Kim, Hyung Joon Kim, and Dong Hoon Koh Ji Eun YuJi Eun Yu More articles by this author , Ye Chan JooYe Chan Joo More articles by this author , Young Seop ChangYoung Seop Chang More articles by this author , Jin Bum KimJin Bum Kim More articles by this author , Hong Wook KimHong Wook Kim More articles by this author , Hyung Joon KimHyung Joon Kim More articles by this author , and Dong Hoon KohDong Hoon Koh More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003248.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To investigate how time to percutaneous nephrostomy insertion impacts on prognosis of patients with obstructing ureteral stones with sepsis. METHODS: Using a database from 2017 to 2021, we evaluated patients who visited emergency department with obstructive uropathy due to urinary stones and underwent percutaneous nephrostomy insertion. We classified patients in two groups, whom met quick sequential organ failure assessment (qSOFA) score of lesser than two, and qSOFA score of two or more, and retrospectively investigated patients. The aim of this study is to understand how time to percutaneous nephrostomy insertion affects the prognosis, including total length of stay, need for intensive care unit. RESULTS: Total 96 patients met the criteria. 70 patients had qSOFA score of lesser than two, and 26 patients had qSOFA score of two or more. Overall, 37 patients have positive urine culture. Mean time to percutaneous nephrostomy insertion was 229 minutes, and mean length of stay was 18.11 days. There was no difference between groups in clinical values. In group of qSOFA score of lesser than two, there was no correlation between the time to procedure and length of stay, but in group of qSOFA score of two or more, hospitalization days was significantly shorter in patients of percutaneous nephrostomy before 4 hours than patients whom underwent procedure after 4 hours. CONCLUSIONS: In patients with obstructive uropathy with high risk of sepsis, length of stay would be decreased as time to percutaneous nephrostomy insertion shortened. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e307 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ji Eun Yu More articles by this author Ye Chan Joo More articles by this author Young Seop Chang More articles by this author Jin Bum Kim More articles by this author Hong Wook Kim More articles by this author Hyung Joon Kim More articles by this author Dong Hoon Koh More articles by this author Expand All Advertisement PDF downloadLoading ...