Preoperative urine nitrite versus urine culture for predicting postoperative fever following flexible ureteroscopic lith
- PDF / 1,167,536 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 79 Downloads / 180 Views
ORIGINAL ARTICLE
Preoperative urine nitrite versus urine culture for predicting postoperative fever following flexible ureteroscopic lithotripsy: a propensity score matching analysis Yu‑cheng Ma1 · Zhong‑Yu Jian1 · Hong Li1 · Kun‑Jie Wang1 Received: 14 January 2020 / Accepted: 5 May 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose Multiple studies have reported that preoperative positive urine culture is an independent risk factor for postoperative fever (POF) after ureteroscopy (URS). Urine nitrite is associated urinary tract infections (UTIs). However, none of studies has explored the role of urine nitrite in the prediction of POF after flexible URS (fURS). Methods Patients who underwent fURS by the same surgeon between 2009 and 2019 were screened. Sensitivity and specificity of urine culture and urine nitrite were calculated. Propensity score (PS) matching was performed to get a baselinebalanced retrospective cohort to avoid potential bias. Receiver operating characteristic-area under the curve (ROC-AUC) calculated was used to determine the predictive power of models. Decision curve analysis (DCA) was plotted to obtain the clinical benefit of the models. Results Poseoperative fever (POF) is defined as the temperature of the patient higher than 38 ℃ within 72 h after operation, with no sign of infection in other systems. 31(2.8%) of 1095 cases had POF after fURL. Urine nitrite had a better specificity than urine culture for POF diagnosis (P
Data Loading...
