Percutaneous nephrolithotomy: factors associated with fever after the first postoperative day and systemic inflammatory response syndrome

Ronald O P Draga, Esther T Kok, Marique R Sorel, Ruud J L H Bosch, Tycho M T W Lock

Research output: Contribution to journalArticle (Academic Journal)peer-review

66 Citations (Scopus)

Abstract

OBJECTIVE: Fever after the first postoperative day (POD1) after percutaneous nephrolithotomy (PCNL) is most likely caused by an infection that increases hospital stay and healthcare costs. The aim of this study was to find factors associated with fever after POD1 and systemic inflammatory response syndrome (SIRS).

PATIENTS AND METHODS: Ninety patients underwent 117 PCNLs. Patient characteristics, stone burden, and pre- and postoperative treatments were analyzed for association with fever (temperature >or=38 degrees C) and SIRS using univariate analysis.

RESULTS: In 35% of the patients with fever (temperature >or=38 degrees C), fever was present after POD1. Twelve patients developed signs of SIRS (11.2%). In univariate analysis, significant association was observed between fever after POD1 and previous ipsilateral PCNL (p = 0.022, odds ratio OR = 3.1), and between SIRS and paraplegia (p = 0.005, OR = 10.7) and caliceal stones (p = 0.03, OR = 4.8).

CONCLUSIONS: Previous ipsilateral PCNL increases the risk of fever after POD1. Paraplegic patients are at risk for developing SIRS after PCNL.

Original languageEnglish
Pages (from-to)921-7
Number of pages7
JournalJournal of Endourology
Volume23
Issue number6
DOIs
Publication statusPublished - Jun 2009

Keywords

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Fever
  • Humans
  • Male
  • Middle Aged
  • Nephrostomy, Percutaneous
  • Postoperative Period
  • Systemic Inflammatory Response Syndrome

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