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BioMed Research International
Volume 2017, Article ID 4832051, 7 pages
https://doi.org/10.1155/2017/4832051
Research Article

The Evaluation of Risk Factors for Postoperative Infectious Complications after Percutaneous Nephrolithotomy

1Fudan Institute of Urology, Huashan Hospital, Fudan University, Shanghai, China
2Department of Urology, Huashan Hospital, Fudan University, Shanghai, China

Correspondence should be addressed to Haowen Jiang; moc.621@whj_ygoloru

Received 21 September 2016; Revised 5 January 2017; Accepted 11 January 2017; Published 2 February 2017

Academic Editor: Berkan Resorlu

Copyright © 2017 Tian Yang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This study was to evaluate the risk factors of infectious complications after percutaneous nephrolithotomy (PCNL) and build a prediction tool for postoperative complications based on the risk factors. A total of 110 male (67.1%) and 54 female (32.9%) patients who underwent PCNL for renal stones between 2010 and 2014 in our institute were included. A detailed clinical information and laboratory results were obtained from patients. Systemic inflammatory response syndrome (SIRS) and postoperative fever were recorded after PCNL surgery. In all, 45 cases (27.4%) developed SIRS and fever was observed in 20 cases (12.2%). In multivariate analysis, stone size (odds ratio, OR = 1.471, ) and urine white blood cell (WBC) (OR = 1.001, ) were related to the development of SIRS. Stone size (OR = 1.644, ), urine WBC (OR = 1.001, ) and serum albumin (OR = 0.807, ) were associated with postoperative fever. We concluded that patients with larger stone size and preoperative urinary tract infection might have a higher risk of developing SIRS and fever after operation, while a high-normal level of serum albumin might be the protective factor for postoperative fever.