MP63-08 RISK FACTORS FOR READMISSION FOLLOWING 500 CONSECUTIVE URETEROSCOPIES FOR STONE DISEASE: MODERN SINGLE CENTER EXPERIENCE

You have accessJournal of UrologyStone Disease: Surgical Therapy VI (MP63)1 Apr 2020MP63-08 RISK FACTORS FOR READMISSION FOLLOWING 500 CONSECUTIVE URETEROSCOPIES FOR STONE DISEASE: MODERN SINGLE CENTER EXPERIENCE Scott Quarrier*, Brittany McNett-Emmerich, Shuang Li, Sara Best, Sean Hedican, Kristina Penniston, and Stephen Nakada Scott Quarrier*Scott Quarrier* More articles by this author , Brittany McNett-EmmerichBrittany McNett-Emmerich More articles by this author , Shuang LiShuang Li More articles by this author , Sara BestSara Best More articles by this author , Sean HedicanSean Hedican More articles by this author , Kristina PennistonKristina Penniston More articles by this author , and Stephen NakadaStephen Nakada More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000938.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Our objective was to identify factors that increase a patient’s risk of emergency room visits and readmission in the immediate postoperative period. METHODS: An IRB approved prospectively maintained surgical database of patients with renal and ureteral stones at a regional referral center was retrospectively analyzed for consecutive ureteroscopies with 30 days follow-up from 2016 to 2019. We selected the most recent 500 cases (250 consecutive women and 250 consecutive men). Stone size was determined by preoperative imaging. Gender, comorbidities (HTN, gout, BMI, diabetes, chronic UTIs, CKD, bowel disease), preoperative visits to the emergency room within 30 days and surgical factors (preoperative stent, stone size) were used to conduct chi squared univariate analysis. Outcome measures were emergency room visit within 30 days and admission within 30 days. Exclusion criteria included age <18, less than 30 days follow-up. RESULTS: Of the 500 patents, 25 (5%) visited the emergency room within 30 days postoperatively and 12 (2.4%) were admitted postoperatively within 30 days. No factors were associated with emergency room visits post operatively (all p>0.05). Preoperative stenting (p=0.34), stone size (p=0.65), gender (p=0.24), BMI (p=0.56), diabetes (p=0.86), gout (p=0.51) and bowel disease (p=0.45) were not associated with postoperative admissions. Patients were less likely to have postoperative admission if they had a preoperative emergency room visit (3.6% vs 0.0%; p=0.02). Patients were more likely to have a postoperative admission if they had a history of HTN (1.0% vs 4.3%; p=0.02), chronic UTIs (1.9% vs 12.5%; p<0.01) and CKD (2.0% vs 7.3%; p=0.03). CONCLUSIONS: We identified 3 comorbidities that place patients at increased risk for readmission after ureteroscopy. Hypertension (p<0.02), history of chronic UTIs (p<0.01) and CKD (p<0.03) increase the likelihood a patient will be admitted within 30 days. These patients should be targeted in interventions to prevent readmission. Source of Funding: none © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e957-e957 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Scott Quarrier* More articles by this author Brittany McNett-Emmerich More articles by this author Shuang Li More articles by this author Sara Best More articles by this author Sean Hedican More articles by this author Kristina Penniston More articles by this author Stephen Nakada More articles by this author Expand All Advertisement PDF downloadLoading ...