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Published on: May 9, 2018
Risk factors for septic shock after mini-percutaneous nephrolithotripsy with holmium laser
Kai Li1, Chunlai Liu, Xiling Zhang
1Department of Oncology, First Hospital of China Medical University, Shenyang, China.
Objective:
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.
Methods:
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.
Result:
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.
Conclusion:
Female sex and diabetes mellitus are the key risk factors for septic shock after MPCNL. Routine administration of antibiotics preoperatively might reduce the incidence of septic shock.
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