Risk factors of systemic inflammatory response syndrome following retrograde intrarenal surgery for renal and upper ureteric stones in Trang hospital , Thailand
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Abstract
Objective :Retrograde intrarenal surgery (RIRS ) has many complications . This study aimed to evaluate the risk factors of systemic inflammatory response syndrome (SIRS) following retrograde intrarenal surgery.
Method :This study retrospectively analyzed 48 patients who underwent RIRS between January 2020 to July 2023 at Trang hospital. All RIRS were conducted with patients under general anesthesia in the low lithotomy position and performed by 1 urologist. Preoperative and intraoperative risk factors that potentially contribute to SIRS were compared in patients who developed postoperative SIRS and those who did not. Univariable ( two way analysis of variance ) and multivariable analysis ( one way multivariate analysis of variance ) was done. The level of significance was set at p-value <0.05.
Results :The incidence of SIRS following RIRS was 47.9% . In univariate test analysis, significant between SIRS and three factors was noted : BMI ≥25 kg/m2 , longer operative time ≥ 90 minutes and preoperative positive urine culture were likely to have SIRS (p=0.002 , p=0.021 , p=0.000 respectively ). In multivariate analysis confirmed that BMI ≥25 kg/m2 , longer operative time ≥ 90 minutes and preoperative positive urine culture results (p=0.044,p=0.040,p=0.001 respectively ) were significant risk factors of SIRS following RIRS procedure .
Conclusion :The patients with BMI ≥25 kg/m2 , operative time ≥ 90 minutes or preoperative positive urine culture resuts should be concerned about SIRS following RIRS procedure.
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บทความนิพนธ์ต้นฉบับจะต้องผ่านการพิจารณาโดยผู้ทรงคุณวุฒิที่เชี่ยวชาญอย่างน้อย 2 ท่าน แบบผู้ทรงคุณวุฒิ และผู้แต่งไม่ทราบชื่อกันและกัน (double-blind review) และการตีพิมพ์บทความซ้ำต้องได้รับการอนุญาตจากกองบรรณาธิการเป็นลายลักษณ์อักษร
ลิขสิทธิ์
ห้ามนำข้อความทั้งหมดหรือบางส่วนไปพิมพ์ เว้นว่าได้รับอนุญาตจากโรงพยาบาลเป็นลายลักษณ์อักษร
ความรับผิดชอบ
เนื้อหาต้นฉบับที่ปรากฏในวารสารเป็นความรับผิดชอบของผู้เขียน ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากเทคนิคการพิมพ์
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