Influencing factors of acute kidney injury following retrograde intrarenal surgery

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dc.authoridYunus Emre Göger: 0000-0002-4480-9093en_US
dc.authoridMehmet Serkan Özkent: 0000-0002-6613-0671en_US
dc.authoridMuzaffer Tansel Kılınç: 0000-0002-1024-3394en_US
dc.authoridEren Erol: 0000-0003-2421-8250en_US
dc.authoridHakan Hakkı Taşkapu: 0000-0002-2916-0177en_US
dc.contributor.authorGöger, Yunus Emre
dc.contributor.authorÖzkent, Mehmet Serkan
dc.contributor.authorKılınç, Muzaffer Tansel
dc.contributor.authorErol, Eren
dc.contributor.authorTaşkapu, Hakan Hakkı
dc.date.accessioned2023-05-24T09:15:42Z
dc.date.available2023-05-24T09:15:42Z
dc.date.issued2023en_US
dc.departmentNEÜ, Meram Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Anabilim Dalıen_US
dc.descriptionMakaleen_US
dc.descriptionWOS:000922523300002en_US
dc.descriptionPubMed ID:36719465en_US
dc.description.abstractPurpose: To investigate the influencing factors of acute kidney injury (AKI) following retrograde intrarenal surgery (RIRS). Methods: The data of patients who underwent RIRS for kidney stones between January 2018 and June 2022 at two tertiary centers were retrospectively analyzed. Demographic data of patients were obtained. According to kidney disease: Improving Global Outcomes (KDIGO) criteria, those with and without AKI were divided into two groups. Preoperative, intraoperative, and postoperative predictive factors of patients were investigated between the groups. In addition, the influencing factors of AKI were examined by multivariate analysis. Results: This study included 295 (35.7%) women and 532 (64.3%) men. The mean age was 50.03 +/- 15.4 years (range 18-89), and mean stone size was 15.5 +/- 6.1 mm (range 6-47). Overall, 672 of patients (81.3%) were stone-free after the initial treatment. According to KDIGO, 110 of patients (13.3%) had AKI during the postoperative period. Univariate analysis showed that stone size (P=.003), previous stone surgery (P=.010), renal malformations (P=.017), high operative time (P=<.001), high preoperative creatinine value (P=.036), intraoperative complications (P=.018), and postoperative urinary tract infection (P=.003) had significant influence on the AKI after RIRS. Multivariate analysis excluded previous stone surgery, high preoperative creatinine value, renal malformations, and intraoperative complications from the logistic regression model, whereas other factors maintained their statistically significant effect on AKI, indicating that they were independent predictors. Conclusions: Stone size, operative time, postoperative urinary tract infection, and diabetes mellitus are significant predictors of AKI. During RIRS, urologists should consider the factors that increase the risk of AKI and evaluate the treatment outcomes based on these factors.en_US
dc.identifier.citationGöger, Y. E., Özkent, M. S., Kılınç, M. T., Erol, E., Taşkapu, H. H. (2023). Influencing factors of acute kidney injury following retrograde intrarenal surgery. World Journal of Urology, 41, 3, 857-864.en_US
dc.identifier.doi10.1007/s00345-023-04301-6en_US
dc.identifier.endpage864en_US
dc.identifier.issn0724-4983en_US
dc.identifier.issn1433-8726en_US
dc.identifier.issue3en_US
dc.identifier.pmid36719465en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage857en_US
dc.identifier.urihttp://dx.doi.org/10.1007/s00345-023-04301-6
dc.identifier.urihttps://hdl.handle.net/20.500.12452/9669
dc.identifier.volume41en_US
dc.identifier.wosWOS:000922523300002en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofWorld Journal of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/embargoedAccessen_US
dc.subjectRetrograde Intrarenal Surgeryen_US
dc.subjectAcute Kidney Injuryen_US
dc.subjectEndourologyen_US
dc.subjectComplicationsen_US
dc.subjectUrolithiasisen_US
dc.titleInfluencing factors of acute kidney injury following retrograde intrarenal surgeryen_US
dc.typeArticleen_US

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