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

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dc.authorid0000-0002-5093-7948en_US
dc.authorid0000-0003-4154-2052en_US
dc.authorscopusid57218606079en_US
dc.authorscopusid55753628300en_US
dc.authorwosidAAY-8678-2020en_US
dc.authorwosid-en_US
dc.contributor.authorDoğan, Çağrı
dc.contributor.authorYazıcı, Cenk Murat
dc.contributor.authorAkgül, Hacı Murat
dc.contributor.authorÖzman, Oktay
dc.contributor.authorBaşatac, Cem
dc.contributor.authorÇınar, Önder
dc.contributor.authorSıddıkoğlu, Duygu
dc.contributor.authorÇakır, Hakan
dc.contributor.authorSancak, Eyüp Burak
dc.date.accessioned2023-05-16T06:57:01Z
dc.date.available2023-05-16T06:57:01Z
dc.date.issued2022en_US
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
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.en_US
dc.identifier.citationDogan, C., Yazıcı, C. M., Akgül, H. M., Ozman, O., Başatac, C., Cınar, O., . . . Akpınar, H. (2022). The predictive factors for readmission and rehospitalization after retrograde intrarenal surgery: The results of RIRSearch study group. Journal of Endourology, 36(1), 56-64. doi:10.1089/end.2021.0327en_US
dc.identifier.doi10.1089/end.2021.0327
dc.identifier.endpage64en_US
dc.identifier.issn0892-7790
dc.identifier.issn1557-900X
dc.identifier.issue1en_US
dc.identifier.pmid34235975
dc.identifier.scopus2-s2.0-85123118514
dc.identifier.startpage56en_US
dc.identifier.urihttps://doi.org/10.1089/end.2021.0327
dc.identifier.urihttps://hdl.handle.net/20.500.12428/4172
dc.identifier.volume36en_US
dc.identifier.wosWOS:000729094100001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSıddıkoğlu, Duygu
dc.institutionauthorSancak, Eyüp Burak
dc.language.isoen
dc.publisherMary Ann Liebert Inc.en_US
dc.relation.ispartofJournal of Endourologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectComplicationen_US
dc.subjectPredictive factorsen_US
dc.subjectReadmissionen_US
dc.subjectRehospitalizationen_US
dc.subjectRetrograde intrarenal surgeryen_US
dc.titleThe Predictive Factors for Readmission and Rehospitalization After Retrograde Intrarenal Surgery: The Results of RIRSearch Study Group
dc.typeArticle

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