Analyzing Predictive Indicators of Fever and Sepsis after Percutaneous Nephrolithotomy

Gautam Zalavadiya(Ysbyty Ystrad Fawr), Sampath Santhosh(Manipal Hospital), Lata Ajay Tapnikar(Ganesh Shankar Vidyarthi Memorial Medical College), Nikhil Ramesh Vaidya(Calderdale and Huddersfield NHS Foundation Trust), Vivek Amritbhai Patel(Institute of Medical Sciences), Nilam V. Patel(Institute of Medical Sciences)
Journal of Pharmacy And Bioallied Sciences
November 30, 2024
Cited by 0Open Access
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Abstract

Aim: Our research aims to identify the factors that can help reduce the risk of complications and enhance patient safety. Material and Methods: This was a single institutional, retrospective study over a period of 1 year. A total of 250 patients were included in the study, and the study variables recorded were analyzed statistically. Results: A total of 115 patients presented with stones larger than 25 millimeters, while 75 patients were diagnosed with staghorn stones. Our study revealed a statistical connection between severe sepsis following surgery and three key factors: stone size exceeding 25 millimeters, an operative duration longer than 120 minutes, and substantial bleeding that necessitated a transfusion. Conclusion: Experiencing a fever after PCNL is a common response; however, the likelihood of it developing into a serious condition, such as life-threatening severe sepsis and MODS, is quite low.


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