Factors Associated with Short Term Outcomes After Pyeloplasty in the Pediatric Population.

IF 2.1 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology Pub Date : 2025-02-17 DOI:10.1016/j.urology.2025.02.016

Olamide Olawoyin, Benjamin Press, Ankur Choksi, Nishan Sohoni, Robert Weiss, Joshua Sterling, Angela M Arlen

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引用次数: 0

Abstract

Objective: To determine the patient and surgical factors that contribute to 30 days morbidity after pediatric pyeloplasty using a national database.

Methods: This retrospective cohort study used the National Surgical Quality Improvement Program pediatrics (NSQIP) database to evaluate factors associated with 30 days post- surgical outcomes in pediatric patients who had undergone open and laparoscopic pyeloplasty between 2012-2021. Patient factors evaluated included demographics, history of prematurity (HOP), weight, and ASA classification. Surgical factors included operative time, preop labs and prior steroid use. Complications were categorized using the Clavien-Dindo (CD) classification.

Results: 8,221 patients met inclusion criteria. There were 528 (6.4%) readmissions within 30 days. 30 cases, 0.4% were related to obstruction. Urinary Tract Infection (UTI) was the most frequent post-operative complication (n = 232, 2.8%). Median age at the time of surgery was 23 months, 90 patients were < 30 days old at the time of surgery. Age < 23 months and HOP were associated with CD I-II (OR 1.89, p <0.01 and 5.82, p <0.05 respectively). Low weight at time of surgery was associated with CD III-V (OR 0.98, p <0.05). HOP was also associated with incidence of UTI (OR 8.09, p <0.05).

Conclusion: Complications after pyeloplasty are rare and most commonly due to UTI. History of Prematurity (HOP) and low weight at the time of surgery were associated with increased complications after pyeloplasty.

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来源期刊

Urology 医学-泌尿学与肾脏学

CiteScore

3.30

自引率

9.50%

发文量

716

审稿时长

59 days

期刊介绍： Urology is a monthly, peer–reviewed journal primarily for urologists, residents, interns, nephrologists, and other specialists interested in urology The mission of Urology®, the "Gold Journal," is to provide practical, timely, and relevant clinical and basic science information to physicians and researchers practicing the art of urology worldwide. Urology® publishes original articles relating to adult and pediatric clinical urology as well as to clinical and basic science research. Topics in Urology® include pediatrics, surgical oncology, radiology, pathology, erectile dysfunction, infertility, incontinence, transplantation, endourology, andrology, female urology, reconstructive surgery, and medical oncology, as well as relevant basic science issues. Special features include rapid communication of important timely issues, surgeon''s workshops, interesting case reports, surgical techniques, clinical and basic science review articles, guest editorials, letters to the editor, book reviews, and historical articles in urology.