Outcomes of percutaneous nephrolithotomy in spinal cord injury patients as compared to a matched cohort

Spinal cord injury patients are at increased risk of developing nephrolithiasis and may require percutaneous nephrolithotomy for treatment of large stone burdens. Our objective was to compare outcomes of PCNL in SCI patients as compared to a matched cohort of non-SCI patients. Data from the Healthca...

Full description

Saved in:
Bibliographic Details
Published in:Urolithiasis 2017-10, Vol.45 (5), p.501-506
Main Authors: Baldea, Kristin G., Blackwell, Robert H., Vedachalam, Srikanth, Kothari, Anai N., Kuo, Paul C., Gupta, Gopal N., Turk, Thomas M. T.
Format: Article
Language:English
Subjects:
Aged
California - epidemiology
Cohort Studies
Comorbidity
Female
Florida - epidemiology
Humans
Kidney Calculi - etiology
Kidney Calculi - surgery
Length of Stay
Male
Medical Biochemistry
Medicine
Medicine & Public Health
Middle Aged
Mortality
Nephrolithotomy, Percutaneous - adverse effects
Nephrology
Original Paper
Paralysis - epidemiology
Perioperative Period
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Sepsis
Sepsis - epidemiology
Spinal cord injuries
Spinal Cord Injuries - complications
Spinal Cord Injuries - epidemiology
Urology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Spinal cord injury patients are at increased risk of developing nephrolithiasis and may require percutaneous nephrolithotomy for treatment of large stone burdens. Our objective was to compare outcomes of PCNL in SCI patients as compared to a matched cohort of non-SCI patients. Data from the Healthcare Cost and Utilization Project State Inpatient Database for Florida and California were used to identify patients by ICD-9 codes who underwent PCNL between 2007 and 2011. SCI was identified by having a paralysis diagnosis on the chronic comorbidity indicator. One-to-one matching was performed based on age, race, gender, presence of preoperative UTI, and major comorbidities. Of the 39,868 unique patients identified, who underwent PCNL, 1918 (4.81%) were SCI patients. After matching, worse perioperative outcomes in SCI patients were demonstrated. SCI patients had significantly longer length of stay, higher rates of sepsis, and increased minor and moderate complications ( p  
ISSN:2194-7228
2194-7236
DOI:10.1007/s00240-016-0958-6