Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=23942388
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 298.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 298.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 298.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 298.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\23942388
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Urol+Int
2013 ; 91
(3
): 340-4
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Lithotrites and postoperative fever: does lithotrite type matter? Results from
the Clinical Research Office of the Endourological Society Percutaneous
Nephrolithotomy Global Study
#MMPMID23942388
Chu DI
; Lipkin ME
; Wang AJ
; Ferrandino MN
; Preminger GM
; Kijvikai K
; Gupta NP
; Melekos MD
; de la Rosette JJ
Urol Int
2013[]; 91
(3
): 340-4
PMID23942388
show ga
OBJECTIVE: To compare the risks of fever from different lithotrites after
percutaneous nephrolithotomy (PNL). MATERIALS AND METHODS: The Clinical Research
Office of the Endourological Society (CROES) PNL database is a prospective,
multi-institutional, international PNL registry. Of 5,803 total patients, 4,968
received preoperative antibiotics, were supplied with complete information and
included in this analysis. The lithotrites assessed included no fragmentation,
ultrasonic, laser, pneumatic and combination ultrasonic/pneumatic. Risk of fever
was estimated using multivariate logistic regression with adjustment for
diabetes, steroid use, a history of positive urine culture, the presence of
staghorn calculi or preoperative nephrostomy, stone burden and lithotrite.
RESULTS: The overall fever rate was 10%. Pneumatic lithotrites were used in 43%
of the cohort, followed by ultrasonic (24%), combination ultrasonic/pneumatic
(17.3%), no fragmentation (8.4%) and laser (7.3%). Fever rates were no different
between patients who underwent no or any fragmentation (p = 0.117), nor among
patients when stratified by lithotrite (p = 0.429). On multivariate analysis,
fragmentation was not significantly associated with fever [Odds Ratio (OR) 1.17,
p = 0.413], while diabetes (OR 1.32, p = 0.048), positive urine culture (OR 2.08,
p < 0.001), staghorn calculi (OR 1.80, p < 0.001) and nephrostomy (OR 1.65, p <
0.001) increased fever risk. Fever risk among lithotrites did not differ (p ?
0.128). CONCLUSIONS: Risk of post-PNL fever was not significantly different among
the various lithotrites used in the CROES PNL study.