The global,prevalence,and risk factors of postoperative fever after percutaneous nephrolithotomy:A systematic review and meta-analysis  

作　　者：Reza Falahatkar Siavash Falahatkar Mohammad Amin Khajavi Gaskarei Masoomeh Afzalipoor Ali Mojtahedi Neda Aligolighasemabadi Ahmad Deilami Samaneh Mirzaei Dahka Mohammad-Hossein Keivanlou Alireza Jafari 

机构地区：[1]Urology Research Center,Guilan University of Medical Sciences,Guilan,Rasht,Iran [2]Department of Surgery,University of Saskatchewan,Saskatoon,Canada [3]Microbiology Department,School of Medicine,Guilan University of Medical Sciences,Rasht,Iran [4]Department of Internal Medicine,School of Medicine,Guilan University of Medical Siences,Rasht,Iran [5]School of Nursing and Midwifery,Guilan University of Medical Sciences,Guilan,Rasht,Iran

出　　处：《Asian Journal of Urology》2024年第2期253-260,共8页亚洲泌尿外科杂志（英文）

摘　　要：Objective:This study aimed to explore the global,prevalence,and risk factors of fever after percutaneous nephrolithotomy(PCNL)by conducting a systematic review and meta-analysis.Methods:The high-sensitivity searching was conducted without time limitation until December 30,2020 in Web of Sciences,Scopus,and PubMed based on inclusion and exclusion criteria.Results:The prevalence rates of fever and sepsis among patient undergoing PCNL were estimated 9.5%(95%confidence interval[CI]:9.3%-9.7%),and 4.5%(95%CI:4.2%-4.8%),respectively.Nephrostomy tube was used in 9.96%(95%CI:9.94%-9.97%)of patients.The mean preoperative white blood cells of patients were 6.401×109/L;18.3%and 4.55%of patients were considered as the positive urinary culture and pyuria,respectively.About 20.4%of patients suffered from residual stones.The odds ratios(ORs)of fever in patients who suffering from diabetes mellitus,hydronephrosis,staghorn stones,and blood transfusion were 4.62(95%CI:2.95-7.26),1.04(95%CI:0.81-1.34),2.57(95%CI:0.93-7.11),and 2.65(95%CI:1.62-4.35),respectively.Patients who underwent PCNL in prone position were more likely to develop fever(OR:1.23;95%CI:0.75-2.00)than patients in supine position.Conclusion:The current study showed that patients who suffer from diabetes mellitus,hydronephrosis,staghorn stones,nephrostomy tube or double-J stent,blood transfusion,and also patients who underwent PCNL in prone position surgery are more likely to develop a postoperative fever after PCNL.

关 键 词：Percutaneous nephrolithotomy FEVER HYDRONEPHROSIS DIABETES META-ANALYSIS 

分 类 号：R692.4[医药卫生—泌尿科学]