Unplanned 30-Day Encounters After Ureterorenoscopy for Urolithiasis

Journal of Endourology
Kefu DuAlana C Desai

Abstract

To identify avoidable predictors of postureteroscopy (URS) unplanned encounters and to minimize 30-day encounters. We performed retrospective chart review and telephone surveys on patients who underwent URS for urolithiasis between January and June 2016. Univariate and multivariable analyses evaluated for potential predictors of unplanned encounters. Of 157 patients, there were 44 (28.0%) unplanned patient-initiated clinical phone calls, 23 (14.6%) emergency department (ED) visits, and 8 (5.1%) readmissions, with pain being the most common complaint during the encounters. Factors associated with a higher rate of phone calls include first-time stone procedure (36.6% vs 20.9%, p = 0.029), outpatient status (30.3% vs 0%, p = 0.021), intraoperative stent placement (31.2% vs 0%, p = 0.006), and stent removal at home (58.8% vs 28.8%, p = 0.014). Factors associated with increased rate of ED visits were first-time stone procedure (22.5% vs 8.1%, p = 0.011) and ureteral access sheath (UAS) usage (29.6% vs 11.8%, p = 0.018). Factors associated with a higher rate of readmissions were lower body mass index (23.9 vs 29.7, p = 0.013), bilateral procedure (20.0% vs 2.9%, p = 0.010), and UAS usage (14.8% vs 3.1%, p = 0.032). Stone burden, oper...Continue Reading

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Citations

Nov 15, 2019·Current Opinion in Urology·Spencer C Hiller, Khurshid R Ghani
Nov 4, 2020·BMC Urology·Adam ColeUNKNOWN Michigan Urological Surgery Improvement Collaborative
Dec 30, 2021·Journal of Endourology·Dima Raskolnikov, Jonathan D Harper

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Methods Mentioned

BETA
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