Publication: Lithotrites and postoperative fever: Does lithotrite type matter? results from the clinical research office of the endourological society percutaneous nephrolithotomy global study
Issued Date
2013-01-01
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14230399
00421138
00421138
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2-s2.0-84886410051
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Mahidol University
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SCOPUS
Bibliographic Citation
Urologia Internationalis. Vol.91, No.3 (2013), 340-344
Suggested Citation
David I. Chu, Michael E. Lipkin, Agnes J. Wang, Michael N. Ferrandino, Glenn M. Preminger, Kittinut Kijvikai, Narmada P. Gupta, Michael D. Melekos, Jean J M C H De La Rosette Lithotrites and postoperative fever: Does lithotrite type matter? results from the clinical research office of the endourological society percutaneous nephrolithotomy global study. Urologia Internationalis. Vol.91, No.3 (2013), 340-344. doi:10.1159/000351752 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/32690
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Title
Lithotrites and postoperative fever: Does lithotrite type matter? results from the clinical research office of the endourological society percutaneous nephrolithotomy global study
Abstract
Copyright © 2013 S. Karger AG, Basel. 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.