Which Factors Affect the Hospital Re-admission After Treatment Approaches to Urethral Strictures?

Amaç: Üretral darlıklara müdahale edildikten sonra hastaneye tekrar başvuru nedenleri ile ilişkili hasta ve prosedüre bağlı faktörleri araştırmaktır.Gereç ve Yöntem: 2011 ile 2016 yılları arasında üretra darlığı nedeni ile dilatasyon veya internal üretrotomi uygulanan hastaların tıbbi kayıtları retrospektif olarak incelendi. Hastaneden taburcu olduktan sonraki 30 gün içinde hastaneye herhangi bir sebeple yeniden başvuran hastalar değerlendirildi. Tekrar başvuru oranlarını etkileyen hasta ve prosedüre bağlı faktörler, geriye doğru kademeli çoklu ikili lojistik regresyon analizi kullanılarak ortaya çıkarıldı.Bulgular: Yetmiş altı erkek hastanın yaş ortalaması 61,7±14,4 yıldı. Preoperatif üroflowmetride ortalama maksimal akım hızı 6,01±4,3, ortalama Amerikan Anesteziyologları Derneği skoru 2,38 idi. Kırk beş (%59,2) hastada birinci, 16 (%21,1) hastada ikinci, 9 (%11,8) hastada üçüncü, 6 (%7,9) hastada dördüncü kez işlem yapıldı. Amplatz dilatörleri, soğuk bıçak ve Ho:YAG lazeri sırasıyla %50, %27,6 ve %22,4 hastalarda kullanıldı. Ortalama yatış süresi 0,89±0,31 gün, komplikasyon oranı %19,7 (15/76) idi. Ortalama uretral kateterin kalma süresi 8,9±14,2 gündü. Toplam 61 (%80,3) hastada başarı elde edildi. Olguların %19,7'sinde işlem başarısız oldu (Qmaks

Üretra Darlıklarında Tedavi Yaklaşımlarına Göre Hastaneye Tekrar Başvuruyu Etkileyen Faktörler

Objective: To investigate patient- and procedure-related factors associated with hospital re-admission following urethral manipulations for the treatment of urethral strictures. Materials and Methods: Data of patients who underwent dilation or internal urethrotomy for urethral strictures between 2011 and 2016 were retrospectively analyzed. Patients who were admitted to our institute for any reason within one month after hospital discharge were evaluated. The patient- and procedure-related factors affecting the readmission rates were revealed by multiple binary logistic regression using stepwise backward elinimination. Results: The average age of 76 male patients was 61.7±14.4 years. The mean maximal flow rate at preoperative uroflowmetry was 6.01±4.3 and the median American Society of Anesthesiologists score was 2.38. The process was the first for 45 (59.2%) patients, the second for 16 (21.1%) patients, the third for 9 (11.8%) patients, and the fourth for 6 (7.9%) patients. Amplatz dilators, cold knife and Ho:YAG laser were used in 50%, 27.6% and 22.4% of patients, respectively. The mean length of hospital stay was 0.89±0.31 days, and the complication rate was 19.7% (15/76). The mean urethral catheter dwell time was 8.9±14.2 day. Overall, the procedure was successful in 61 (80.3%) patients and failed (Qmax

Kaynakça

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