PD35-12 UNPLANNED EMERGENCY DEPARTMENT VISITS AND HOSPITAL ADMISSIONS FOLLOWING URETEROSCOPY: DO URETERAL STENTS MAKE A DIFFERENCE?

Abstract

You have accessJournal of UrologyStone Disease: Surgical Therapy IV1 Apr 2017PD35-12 UNPLANNED EMERGENCY DEPARTMENT VISITS AND HOSPITAL ADMISSIONS FOLLOWING URETEROSCOPY: DO URETERAL STENTS MAKE A DIFFERENCE? Harsha R. Mittakanti, Simon Conti, Alan C. Pao, Joseph Liao, John T. Leppert, and Christopher S. Elliott Harsha R. MittakantiHarsha R. Mittakanti More articles by this author , Simon ContiSimon Conti More articles by this author , Alan C. PaoAlan C. Pao More articles by this author , Joseph LiaoJoseph Liao More articles by this author , John T. LeppertJohn T. Leppert More articles by this author , and Christopher S. ElliottChristopher S. Elliott More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1548AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The comparative effectiveness of ureteral stents placed during ureteroscopy for urinary stone disease is widely debated. We sought to evaluate unplanned medical visits within the early post-operative period after ureteroscopy in patients with and without ureteral stent placement. METHODS We identified all ureteroscopic procedures for urinary stone disease in the California Office of Statewide Health Planning and Development (OSHPD) database from 2010-2012. The primary outcome was any emergency department visit or inpatient hospital admission in the first 7 days following ureteroscopy. Patients were sub-categorized by type of ureteroscopy (i.e. laser lithotripsy, basket retrieval, diagnostic) and analyzed for significant differences between stented and unstented patients. Multivariable logistic regression was performed to determine if ureteral stent placement was independently associated with unplanned visits. RESULTS Our analytic cohort included 17,129 patients undergoing 18,860 ureteroscopy procedures. A ureteral stent was placed in 86.2% of patients undergoing laser lithotripsy, 70.5% of patients receiving basket retrieval, and 54.0% of patients undergoing diagnostic ureteroscopy. In the 7 days following ureteroscopy, 6.6% of patients were seen in the emergency department and 2.2% of patients were admitted. In a fully adjusted model, the utilization of a ureteral stent was not associated with emergency department visits or inpatient admissions. CONCLUSIONS Ureteral stent placement during ureteroscopy does not increase the odds of emergency department visits and inpatient admissions in the early post-operative period. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e667 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Harsha R. Mittakanti More articles by this author Simon Conti More articles by this author Alan C. Pao More articles by this author Joseph Liao More articles by this author John T. Leppert More articles by this author Christopher S. Elliott More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...