Independent risk factors for sepsis after ureteroscopy
WANG Jingshen1, HAO Zhiqiang1, WANG Qinzhang1, ZHENG Liying2, HUO Wangsheng3, LIU Yi4, QIAN Biao2
1Department of Urology, the First Affiliated Hospital of Shihezi University School of Medicine, Shihezi 832000; 2Department of Urology, the First Affiliated Hospital of Gannan Medical College; 3Department of Urology, Hongxing Hospital, 13th Division, Xinjiang Production and Construction Corps; 4Department of Urology, 17th Division, Xinjiang Production and Construction Corps
Abstract：Objective： To explore the independent risk factors and treatment strategies for the occurrence of sepsis after ureteroscopy. Methods： A retrospective analysis was performed on 119 cases of ureteroscope lithotripsy from January 2015 to June 2018 in the First Affiliated Hospital of Shihezi University School of Medicine. There were 13 cases of postoperative sepsis, and no sepsis occurred in 106 cases. The patient's age, gender, diabetes, preoperative urine culture results, stone size, history of calculus surgery, preoperative placement of double J tube, operation time and other risk factors were collected. According to the data type, t test or χ2 test was used to perform single factor analysis, and the t value or χ2 value and P value of each risk factor were calculated. P <0.05 was statistically significant. For multivariate analysis, binary logistic regression analysis was used to calculate the P value, OR value and 95% CI value of each risk factor. P <0.05 was statistically significant. Results： One-way analysis showed that there were significant differences in age, urine culture positivity, urine routine positivity, female, diabetes, and operation time (P<0.05). Multivariate analysis showed age [OR 1.106 (1.012, 1.208)] and female [OR 7.263 (1.2, 43.975)], operative time >60 min [OR 10.469 (1.053, 104.08)] were independent risk factors. Conclusion： Age, female, and operation time >60 min are independent risk factors for sepsis after ureteroscopy.
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