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学科主题临床医学
Systemic inflammatory response syndrome after percutaneous nephrolithotomy: An assessment of risk factors
Chen, Liang; Xu, Qing-Quan; Li, Jian-Xing; Xiong, Liu-Lin; Wang, Xiao-Feng; Huang, Xiao-Bo
关键词assessing kidney calculi percutaneous nephrolithotomy risk factors systemic inflammatory response syndrome
刊名INTERNATIONAL JOURNAL OF UROLOGY
2008-12-01
DOI10.1111/j.1442-2042.2008.02170.x
15期:12页:1025-1028
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Urology & Nephrology
研究领域[WOS]Urology & Nephrology
关键词[WOS]ORGAN FAILURE ; UROSEPSIS ; CULTURE ; SEPSIS ; STONE
英文摘要

To analyze the risk factors for systemic inflammatory response syndrome (SIRS) after percutaneous nephrolithotomy (PCNL) and to quantitatively predict the probability of SIRS after PCNL.

Medical records on 209 patients who underwent PCNL were retrospectively analyzed. The chi(2) test, the t-test and a logistic regression model were used to identify key risk factors of SIRS after PCNL. A predictive equation was then formulated to assess the risk of SIRS according to the results from the logistic model. Subsequently, the accuracy of the equation by calculating sensitivity, specificity, overall correct percentage, and positive and negative predictive values was tested.

The incidence of SIRS after PCNL was 23.4%. The key risk factors for SIRS following PCNL were: the number of tracts, receipt of a blood transfusion, stone size, and presence of pyelocaliectasis. Other factors added no independent risk to the development of SIRS. The calculated values for sensitivity, specificity, overall percentage correct, positive predictive value and negative predictive value were 44.9%, 95.0%, 83.3%, 73.3%, and 84.9%, respectively.

Number of tracts, receipt of a blood transfusion, stone size and presence of pyelocaliectasis are identified as the key risk factors for SIRS after PCNL. The predictive equation allows for an individualized and quantitative assessment of the probability of SIRS after PCNL.

语种英语
WOS记录号WOS:000261527500001
引用统计
被引频次:36[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/66597
专题北京大学第二临床医学院_泌尿外科
作者单位Peking Univ, Peoples Hosp, Dept Urol, Beijing 100871, Peoples R China
推荐引用方式
GB/T 7714
Chen, Liang,Xu, Qing-Quan,Li, Jian-Xing,et al. Systemic inflammatory response syndrome after percutaneous nephrolithotomy: An assessment of risk factors[J]. INTERNATIONAL JOURNAL OF UROLOGY,2008,15(12):1025-1028.
APA Chen, Liang,Xu, Qing-Quan,Li, Jian-Xing,Xiong, Liu-Lin,Wang, Xiao-Feng,&Huang, Xiao-Bo.(2008).Systemic inflammatory response syndrome after percutaneous nephrolithotomy: An assessment of risk factors.INTERNATIONAL JOURNAL OF UROLOGY,15(12),1025-1028.
MLA Chen, Liang,et al."Systemic inflammatory response syndrome after percutaneous nephrolithotomy: An assessment of risk factors".INTERNATIONAL JOURNAL OF UROLOGY 15.12(2008):1025-1028.
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