Incidence and Factors Associated with Postoperative Fever after Ureteroscopic Lithotripsy
Keywords:
Ureteral stone, Ureteroscopic lithotripsy, Postoperative feverAbstract
This study aimed to investigate the incidence and factors associated with postoperative fever after URSL. A retrospective cohort study was conducted by reviewing the medical records of 110 patients with ureteral stones who underwent URSL at Chao Phraya Yommarat Hospital, Suphanburi Province, between October 2020 and October 2023. Data were analyzed using descriptive statistics, and logistic regression.
The incidence of postoperative fever was 22.7% (25/110 patients). Factors associated with postoperative fever from multiple logistic regression analysis included diabetes mellitus (Adj. OR=6.66, 95%CI 1.18–37.46, p=0.03), operative time (Adj. OR=1.02 per minute, 95%CI 1.01–1.04, p=0.02), and intraoperative bleeding (Adj. OR=34.31, 95%CI 2.66–442.60, p<0.01).
The incidence of postoperative fever after URSL was 22.7% and was associated with diabetes mellitus, longer operative time, and intraoperative bleeding. Attention should be given to comorbidity control, preoperative infection assessment, preoperative urinary tract infection, and intraoperative management to reduce the risk of complications and enhance patient safety.
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