冲击波后再入院的危险因素 尿路结石的冲击波石
Benjamin J Nelson1, Anees Fazili1, Erdal Erturk1
1Department of Urology, University of Rochester Medical Center, Rochester, New York.
Urology practice
|August 18, 2023
概括
紧急冲击波石化是90天再入院的关键预测因素. 这项研究确定了冲击波石症并发症的风险因素,旨在改善患者的治疗结果并降低医疗保健成本.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 内分泌病学 在内分泌病学.
背景情况:
- 随着医疗保健成本的上升,需要减少手术后的并发症和再住院治疗.
- 冲击波石 (SWL) 是对脏和尿道结石的常见治疗方法.
- 了解再接收预测因素对于优化SWL患者护理至关重要.
研究的目的:
- 分析SWL之后的90天再接收和急诊室 (ED) 呈现率.
- 为了确定与SWL相关的再入院和ED访问相关的预后风险因素.
- 评估SWL后的无石头率和相关预测指标.
主要方法:
- 在2011年1月至2013年5月期间,对577名因或尿道结石 (≤2.0厘米) 接受SWL的患者进行了回顾性审查.
- 主要结局:90天再入院或ED呈现.
- 二次结果:30天和90天的无石头率. 统计分析包括单变量和多变量逻辑回归.
主要成果:
- 90天的再接收率为11.6%.
- 程序的紧迫性是重新接收的唯一重要预测因素.
- 结肠 (67%) 是重新入院的最常见原因. 无石头率为57% (30天) 和78% (90天),根据石头大小和非紧急SWL状态进行预测.
结论:
- 在SWL后的90天再接收率为11.6%,而程序的紧急性是重要的预测因素.
- 石头中心应监测SWL再接收率,以建立基准并为治疗决策提供信息.
- 识别诸如程序紧迫性之类的预测因素可以在必要时指导选择替代性内分泌治疗.
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