Early Intervention during Acute Stone Admissions: Revealing "The Weekend Effect" in Urological Practice

The Journal of Urology
Robert H BlackwellGopal N Gupta

Abstract

Obstructing nephrolithiasis is a common condition that can require urgent intervention. In this study we analyze patient factors that contribute to delayed intervention during acute stone admission. We retrospectively reviewed the HCUP SID (Healthcare Cost and Utilization Project State Inpatient Database) for Florida and California from 2007 to 2011. Patients who were admitted urgently with nephrolithiasis and an indication for decompression (urinary tract infection, acute renal insufficiency and/or sepsis) were included in the study. Intervention was timely or delayed, defined as a procedure that occurred within or after 48 hours, respectively. Adjusted multivariate models were fit to assess factors that predicted a delayed procedure as well as mortality. Overall 10,301 patients were admitted urgently for nephrolithiasis with indications for decompression. Early intervention occurred in 6,689 patients (65%) and was associated with a decrease in mortality (11, 0.16%), compared to delayed intervention (17 of 3,612, 0.47%, p=0.002). On multivariate analysis timely intervention significantly decreased the odds of inpatient mortality (OR 0.43, p=0.044). Weekend day admission significantly influenced time to intervention, decreasing...Continue Reading

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Citations

Apr 15, 2017·Epilepsy & Behavior : E&B·Lianne HoCharles Y Liu
Oct 29, 2018·Urolithiasis·Max DrescherKristin G Baldea
Oct 1, 2019·Medical Care·Brian C PeachJeannie P Cimiotti
Oct 2, 2020·Journal of Endourology·Edward CapocciaDimitri Papagiannopoulos
Jan 8, 2019·Journal of Endourology·Eric J KirshenbaumKristin G Baldea
Jun 10, 2021·Arab Journal of Urology·Abdullatif Al-TerkiAhmed R El-Nahas

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