MP50-10 PREDICTING POSTOPERATIVE FEVER AND SYSTEMIC INFLAMMATORY RESPONSE SYNDROME AFTER URETEROSCOPY

Abstract

You have accessJournal of UrologyStone Disease: Surgical Therapy V1 Apr 2017MP50-10 PREDICTING POSTOPERATIVE FEVER AND SYSTEMIC INFLAMMATORY RESPONSE SYNDROME AFTER URETEROSCOPY Andrew Higgins, Amanda Young, Korey Kost, Brielle Schreiter, Marisa Clifton, Brant Fulmer, and Tullika Garg Andrew HigginsAndrew Higgins More articles by this author , Amanda YoungAmanda Young More articles by this author , Korey KostKorey Kost More articles by this author , Brielle SchreiterBrielle Schreiter More articles by this author , Marisa CliftonMarisa Clifton More articles by this author , Brant FulmerBrant Fulmer More articles by this author , and Tullika GargTullika Garg More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1598AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Ureteroscopy (URS) is the standard of care for surgical management of small upper urinary tract stones. A common and life-treating complication of URS is post-operative infection. The objective was to identify risk factors for post-operative fever (POF) and systemic inflammatory response syndrome (SIRS) after URS. METHODS We identified 2375 URS performed for stone disease in an integrated healthcare delivery system from 2008-2014. The primary outcome was POF (temperature greater than 100.4F) or SIRS (yes/no). The study team selected preoperative and intraoperative risk factors for data collection a priori. Univariate comparisons were performed between those who had POF/SIRS and those who did not. Variables with a p value <0.1 were entered into a stepwise logistic regression model. RESULTS A total of 179 out of 2375 patients had POF/SIRS (7.5%). Subjects with POF/SIRS were older, female, had higher body mass index (BMI) and Charlson comorbidity index (CCI), bilateral stones, stone size >= 1cm, renal location, pre-stenting, positive preoperative urine culture, and post-operative antibiotics. Table 1 demonstrates the univariate analysis of candidate predictors and POF/SIRS. Sex, CCI, laterality (unilateral or bilateral), stone location (renal, ureteral, or both), and type of ureteroscope comprised the final model (Table 2). CONCLUSIONS Female sex, higher CCI, using both flexible and semi-rigid ureteroscopes, renal stones, and bilateral stones are associated with POF/SIRS after URS. This data may be used to identify and counsel high-risk individuals for surgical planning. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e687-e688 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Andrew Higgins More articles by this author Amanda Young More articles by this author Korey Kost More articles by this author Brielle Schreiter More articles by this author Marisa Clifton More articles by this author Brant Fulmer More articles by this author Tullika Garg More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...