Risk Factors for Septic Shock After Mini-percutaneous Nephrolithotripsy With Holmium Laser

Abstract

To evaluate the risk factors for septic shock after mini-percutaneous nephrolithotripsy (MPCNL) and provide a theoretic basis for the prevention of septic shock after MPCNL. A total of 834 patients who underwent MPCNL from June 2004 to April 2012 were retrospectively analyzed. The χ(2) test and a logistic regression were used to identify key risk factors for septic shock after MPCNL. The incidence of septic shock after MPCNL was 2.40%. Logistic regression analysis identified female sex (odds ratio, 1.055E8; P<.001) and diabetes mellitus (odds ratio, 4.192; P= .001) as independent risk factors for post-MPCNL septic shock. Female sex and diabetes mellitus are the key risk factors for septic shock after MPCNL. Routineadministration of antibiotics preoperatively might reduce the incidence of septic shock.