The Predictive Factors for Readmission and Rehospitalization After Retrograde Intrarenal Surgery: the Results of RIRSearch Study Group

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dc.authorid0000-0003-2499-8947
dc.authorid0000-0002-0107-5843
dc.authorscopusid55608201600
dc.authorscopusid8416588900
dc.authorscopusid57220590363
dc.authorscopusid57191474931
dc.authorscopusid42161159900
dc.authorscopusid57189872977
dc.authorscopusid57218606079
dc.contributor.authorDoğan, Çağrı
dc.contributor.authorYazıcı, Cenk Murat
dc.contributor.authorAkgül, Hacı Murat
dc.contributor.authorÖzman, Oktay
dc.contributor.authorBasatac, Cem
dc.contributor.authorÇınar, Onder
dc.contributor.authorAkpınar, Haluk
dc.date.accessioned2022-05-11T14:37:01Z
dc.date.available2022-05-11T14:37:01Z
dc.date.issued2022
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractPurpose: Retrograde intrarenal surgery (RIRS) is a safe and effective treatment option for upper urinary tract stones smaller than 2 cm. Although several studies have documented perioperative and postoperative complications related to RIRS, there exists limited data regarding the readmission and rehospitalization of patients after RIRS. The aims of the study were to document the rates of readmission and rehospitalization after RIRS and to determine the predictive factors for readmission and rehospitalization.Materials and Methods: In this study, we retrospectively analyzed patients who underwent RIRS for the treatment of renal stone disease and were unexpectedly readmitted to the hospital within 30 days after discharge. The hospital admission systems were used to determine readmissions and rehospitalizations. Readmission and rehospitalization rates, causes, and treatment procedures were evaluated. Univariate and multivariate analyses of clinicodemographic properties were performed to evaluate possible predictive factors for readmission and rehospitalization after RIRS.Results: A total of 1036 patients were included in the study. Of these patients, 103 (9.9%) were readmitted to the hospital. Among these readmissions, 35 patients (33.9%) were rehospitalized and 14 (13.6%) underwent surgical intervention. The most common reasons for readmission were renal colic and fever. The presence of preoperative pyuria (odds ratio [OR] 1.86), stone volume (OR 1.54), postoperative complications (OR 3.66), and stone-free status (OR 0.46) were predictive factors for readmission, whereas hospitalization time (OR 1.32), postoperative complications (OR 9.70), and stone-free status (OR 0.06) were predictive factors for rehospitalization after RIRS.Conclusion: Nearly 10% of patients who underwent RIRS were readmitted to the hospital within the first month after discharge, and some were rehospitalized. Preoperative pyuria, high stone volume, presence of postoperative complications, and low stone-free status predicted this readmission and rehospitalization. Clinicians must recognize these predictive factors and inform their patients about this possibility.
dc.identifier.doi10.1089/end.2021.0327
dc.identifier.endpage64
dc.identifier.issn0892-7790
dc.identifier.issn1557-900X
dc.identifier.issue1en_US
dc.identifier.pmid34235975
dc.identifier.scopus2-s2.0-85123118514
dc.identifier.scopusqualityQ1
dc.identifier.startpage56
dc.identifier.urihttps://doi.org/10.1089/end.2021.0327
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8531
dc.identifier.volume36
dc.identifier.wosWOS:000729094100001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorDoğan, Çağrı
dc.institutionauthorYazıcı, Cenk Murat
dc.institutionauthorAkgül, Hacı Murat
dc.language.isoen
dc.publisherMary Ann Liebert, Inc
dc.relation.ispartofJournal of Endourology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectretrograde intrarenal surgery
dc.subjectreadmission
dc.subjectrehospitalization
dc.subjectcomplication
dc.subjectpredictive factors
dc.subjectFlexible Ureterorenoscopy
dc.subjectManagement
dc.subjectStones
dc.titleThe Predictive Factors for Readmission and Rehospitalization After Retrograde Intrarenal Surgery: the Results of RIRSearch Study Group
dc.typeArticle

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