Efficiency of Early Ureteric Stenting for Urosepsis Associated with Urinary Tract Lithiasis
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.24915/aup.37.1-2.92 |
Resumo: | Introduction: Our objective was to evaluate the differences between the early or delayed placement of the ureteral stent in patients with urosepsis associated with urinary tract lithiasis. Material and Methods: Retrospective review of patients admitted to our institution between 2011 and 2015 with the diagnosis of urosepsis associated with urinary tract calculi, having ureteral stent placement. Early and delayed stenting groups were defined by the median waiting for ureteral stent placement. The primary outcomes were length of hospital stay (LOS) and spontaneous stone passage (SSP) after stent placement. Statistical analysis included chi-square test, linear regression and Spearman correlation. Results: A total of 42 patients (mean age: 58; 32 females) had a mean number of 3.38 days since emergency room admission to ureteral stenting. The median wait to ureter stenting was 2.5 days. The overall mean length of hospital stay was 12.2 days. The early stenting group had a significantly shorter LOS than the delayed stenting group (mean 5.6 vs 18.8 days; p<0.001). The early stenting group had predominantly lumbar calculi compared to the delayed stenting group (76.2% vs 42.8%; p=0.029). The early stenting group had improved SSP compared to the delayed group (61.9% vs 47.6%; p=0.268). If we consider the lumbar calculi only, there is a relation in SSP between early and delayed stenting groups (p=0.027). Conclusion: There is a significant reduction of LOS in patients with urosepsis associated with urinary tract lithiasis when early ureteral stenting is performed. We observed a trend of improved stone passage in the early stenting group with significance in lumbar calculi between the two groups. |
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Efficiency of Early Ureteric Stenting for Urosepsis Associated with Urinary Tract LithiasisEficiência do Cateterismo Ureteral Precoce na Urosépsis Associada à Litíase do Tracto UrinárioUrolithiasisSepsisUreteral catheterizationCateterismo UrinárioSépsisUrolitíaseIntroduction: Our objective was to evaluate the differences between the early or delayed placement of the ureteral stent in patients with urosepsis associated with urinary tract lithiasis. Material and Methods: Retrospective review of patients admitted to our institution between 2011 and 2015 with the diagnosis of urosepsis associated with urinary tract calculi, having ureteral stent placement. Early and delayed stenting groups were defined by the median waiting for ureteral stent placement. The primary outcomes were length of hospital stay (LOS) and spontaneous stone passage (SSP) after stent placement. Statistical analysis included chi-square test, linear regression and Spearman correlation. Results: A total of 42 patients (mean age: 58; 32 females) had a mean number of 3.38 days since emergency room admission to ureteral stenting. The median wait to ureter stenting was 2.5 days. The overall mean length of hospital stay was 12.2 days. The early stenting group had a significantly shorter LOS than the delayed stenting group (mean 5.6 vs 18.8 days; p<0.001). The early stenting group had predominantly lumbar calculi compared to the delayed stenting group (76.2% vs 42.8%; p=0.029). The early stenting group had improved SSP compared to the delayed group (61.9% vs 47.6%; p=0.268). If we consider the lumbar calculi only, there is a relation in SSP between early and delayed stenting groups (p=0.027). Conclusion: There is a significant reduction of LOS in patients with urosepsis associated with urinary tract lithiasis when early ureteral stenting is performed. We observed a trend of improved stone passage in the early stenting group with significance in lumbar calculi between the two groups.Introdução: O nosso objetivo foi avaliar as diferenças entre a colocação precoce ou tardia do cateter ureteral duplo J em doentes com urosépsis associada a litíase do trato urinário. Material e Métodos: Revisão retrospectiva de doentes internados na nossa instituição entre 2011 e 2015 com o diagnóstico de urosépsis associada a litíase do trato urinário, com colocação de cateter ureteral duplo J. Os grupos de cateterização precoce e tardia foram definidos pela mediana de espera pela colocação de cateter ureteral duplo J. Analisou-se o tempo de internamento, localização e emissão espontânea de cálculos após a colocação do cateter ureteral. A análise estatística incluiu teste de qui-quadrado, regressão linear e correlação de Spearman. Resultados: Quarenta e dois doentes (média de idade: 58 anos; 32 mulheres) apresentaram uma média de 3,38 dias desde a admissão no serviço de urgência até à colocação de cateter ureteral duplo J. A mediana de tempo para cateterismo ureteral foi 2,5 dias.Otempo médio de internamento foi 12,2 dias. O grupo de cateterismo precoce teve um tempo de internamento menor do que o grupo de cateterismo tardio (média de 5,6 vs 18,8 dias; p<0,001). O grupo de cateterismo ureteral precoce apresentou cálculos predominantemente lombares face ao grupo tardio (76,2% vs 42,8%; p=0,029) e apresentou melhor emissão espontânea de cálculos comparativamente a esse grupo (61,9% vs 47,6%; p=0,268). Se considerarmos apenas os cálculos lombares, existe uma relação na emissão espontânea entre os dois grupos ( p=0,027). Conclusão: Existe redução significativa do tempo de internamento, em doentes com urosépsis por litíase, quando é realizado o cateterismo ureteral precoce. Este apresenta uma maior emissão espontânea de cálculos, sobretudo na região lombar.Associação Portuguesa de Urologia2020-07-17T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.24915/aup.37.1-2.92oai:oai.actaurologicaportuguesa.com:article/92Acta Urológica Portuguesa; Vol. 36 No. 3-4 (2019): July-September; October-December; 76-80Acta Urológica Portuguesa; v. 36 n. 3-4 (2019): Julho-Setembro; Outubro-Dezembro; 76-802387-04192341-4022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttp://www.actaurologicaportuguesa.com/index.php/aup/article/view/92https://doi.org/10.24915/aup.37.1-2.92http://www.actaurologicaportuguesa.com/index.php/aup/article/view/92/56Copyright (c) 2020 Portuguese Association of Urologyhttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessMarialva, CelsoMacedo, AlexandreRamos, NunoMetrogos, VanessaCarvalho, Miguel2022-09-21T09:04:48Zoai:oai.actaurologicaportuguesa.com:article/92Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:55:54.424409Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Efficiency of Early Ureteric Stenting for Urosepsis Associated with Urinary Tract Lithiasis Eficiência do Cateterismo Ureteral Precoce na Urosépsis Associada à Litíase do Tracto Urinário |
title |
Efficiency of Early Ureteric Stenting for Urosepsis Associated with Urinary Tract Lithiasis |
spellingShingle |
Efficiency of Early Ureteric Stenting for Urosepsis Associated with Urinary Tract Lithiasis Marialva, Celso Urolithiasis Sepsis Ureteral catheterization Cateterismo Urinário Sépsis Urolitíase |
title_short |
Efficiency of Early Ureteric Stenting for Urosepsis Associated with Urinary Tract Lithiasis |
title_full |
Efficiency of Early Ureteric Stenting for Urosepsis Associated with Urinary Tract Lithiasis |
title_fullStr |
Efficiency of Early Ureteric Stenting for Urosepsis Associated with Urinary Tract Lithiasis |
title_full_unstemmed |
Efficiency of Early Ureteric Stenting for Urosepsis Associated with Urinary Tract Lithiasis |
title_sort |
Efficiency of Early Ureteric Stenting for Urosepsis Associated with Urinary Tract Lithiasis |
author |
Marialva, Celso |
author_facet |
Marialva, Celso Macedo, Alexandre Ramos, Nuno Metrogos, Vanessa Carvalho, Miguel |
author_role |
author |
author2 |
Macedo, Alexandre Ramos, Nuno Metrogos, Vanessa Carvalho, Miguel |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Marialva, Celso Macedo, Alexandre Ramos, Nuno Metrogos, Vanessa Carvalho, Miguel |
dc.subject.por.fl_str_mv |
Urolithiasis Sepsis Ureteral catheterization Cateterismo Urinário Sépsis Urolitíase |
topic |
Urolithiasis Sepsis Ureteral catheterization Cateterismo Urinário Sépsis Urolitíase |
description |
Introduction: Our objective was to evaluate the differences between the early or delayed placement of the ureteral stent in patients with urosepsis associated with urinary tract lithiasis. Material and Methods: Retrospective review of patients admitted to our institution between 2011 and 2015 with the diagnosis of urosepsis associated with urinary tract calculi, having ureteral stent placement. Early and delayed stenting groups were defined by the median waiting for ureteral stent placement. The primary outcomes were length of hospital stay (LOS) and spontaneous stone passage (SSP) after stent placement. Statistical analysis included chi-square test, linear regression and Spearman correlation. Results: A total of 42 patients (mean age: 58; 32 females) had a mean number of 3.38 days since emergency room admission to ureteral stenting. The median wait to ureter stenting was 2.5 days. The overall mean length of hospital stay was 12.2 days. The early stenting group had a significantly shorter LOS than the delayed stenting group (mean 5.6 vs 18.8 days; p<0.001). The early stenting group had predominantly lumbar calculi compared to the delayed stenting group (76.2% vs 42.8%; p=0.029). The early stenting group had improved SSP compared to the delayed group (61.9% vs 47.6%; p=0.268). If we consider the lumbar calculi only, there is a relation in SSP between early and delayed stenting groups (p=0.027). Conclusion: There is a significant reduction of LOS in patients with urosepsis associated with urinary tract lithiasis when early ureteral stenting is performed. We observed a trend of improved stone passage in the early stenting group with significance in lumbar calculi between the two groups. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-07-17T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.24915/aup.37.1-2.92 oai:oai.actaurologicaportuguesa.com:article/92 |
url |
https://doi.org/10.24915/aup.37.1-2.92 |
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oai:oai.actaurologicaportuguesa.com:article/92 |
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por |
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http://www.actaurologicaportuguesa.com/index.php/aup/article/view/92 https://doi.org/10.24915/aup.37.1-2.92 http://www.actaurologicaportuguesa.com/index.php/aup/article/view/92/56 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Portuguese Association of Urology http://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Portuguese Association of Urology http://creativecommons.org/licenses/by-nc-nd/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Associação Portuguesa de Urologia |
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Associação Portuguesa de Urologia |
dc.source.none.fl_str_mv |
Acta Urológica Portuguesa; Vol. 36 No. 3-4 (2019): July-September; October-December; 76-80 Acta Urológica Portuguesa; v. 36 n. 3-4 (2019): Julho-Setembro; Outubro-Dezembro; 76-80 2387-0419 2341-4022 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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