Abstract
To investigate the perioperative complication rates for paraplegic-quadriplegic patients (PQPs) undergoing percutaneous nephrolithotomy (PCNL) as compared with non-PQPs using a standardized method of complication reporting via the Clavien system. Two hundred thirteen consecutive PCNLs performed by a single surgeon were analyzed. There were 31 and 115 patients separated into PQP and non-PQP groups, respectively. Data collection included demographic and clinical factors, as well as perioperative and delayed complications. Complications were organized by the Clavien grade. All- and initial-procedure complications were analyzed. The rate of adverse events for each Clavien grade was calculated, and statistical comparisons were made. The relationship between PQP and complication severity was investigated using univariate and multivariate analyses. There were 38 and 43 initial-procedure complications in the PQP and non-PQP groups, respectively. The rate of adverse events was higher across the spectrum of Clavien grades for the PQP group, specifically grade 1 (48.4% vs 20.2%; P = .002), grade 2 (22.6% vs 5.3%; P = .004), grade 3b (12.9% vs 2.6%; P = .038), grade 4a (6.5% vs 0%), and grade 4b (9.7% vs 1.8%; P = .066). Approximately 51.6...Continue Reading
References
Jun 1, 1992·Chest·R C BoneW J Sibbald
Apr 10, 2004·Urology·Jonathan N RubensteinRobert B Nadler
Jul 27, 2005·BJU International·Nathan LawrentschukDamien M Bolton
Sep 13, 2005·BJU International·Mahmoud OsmanThomas Knoll
Dec 1, 2005·Urological Research·Ja Hyeon KuHong Bang Shim
Apr 8, 2006·The Journal of Urology·Brian R MatlagaJames E Lingeman
Nov 11, 2006·European Urology·Maurice Stephan MichelJens Jochen Rassweiler
Mar 3, 2007·Critical Care : the Official Journal of the Critical Care Forum·Ravindra L MehtaUNKNOWN Acute Kidney Injury Network
Apr 21, 2007·Urology·Burak TurnaCag Cal
Apr 25, 2007·Scandinavian Journal of Urology and Nephrology·Rikke Bølling HansenJørgen Kvist Kristensen
Jul 27, 2007·European Urology·Ahmet TefekliAhmet Yaser Muslumanoglu
Feb 28, 2008·Current Opinion in Urology·Andreas Skolarikos, Jean de la Rosette
Oct 22, 2008·The Journal of Urology·J J M C H de la RosetteTh M de Reijke
Jan 21, 2011·Journal of Endourology·Jean de la RosetteUNKNOWN CROES PCNL Study Group
Oct 8, 2011·European Urology·Christian SeitzDavid Tolley
Apr 11, 2012·European Urology·Jean J M C H de la RosetteUNKNOWN CROES PCNL Study Group
Feb 28, 2013·World Journal of Urology·Jairam R EswaraDianne Sacco