Analysis on the risk factors for septic shock following minimally invasive percutaneous nephrolithotomy

Objective: To examine the risk factors for septic shock following minimally invasive percutaneous nephrolithotripsy (PCNL). Methods: From January 2009 to June 2017, 700 patients who underwent PCNL in our hospital were included in this prospective and their clinical records were pooled for analysis. Univariate and multivariate logistic regression analyses were employed for clarification of the risk factors for post-PCNL septic shock, and the patients with the disease received active anti-infective and anti-shock care. Results: Fifteen of the 700 patients had post-PCNL septic shock. Multivariate logistic regression analysis revealed that women (adjusted odds ratio (OR)=1.719, P<0.001) and diabetes mellitus (adjusted OR=4.217, P=0.002) were independent risk factors for post-PCNL septic shock. After active treatment, the 15 patients were all cured and discharged from the hospital. Conclusion: Women and diabetes mellitus are the risk factors for the onset of post-PCNL septic shock, and prognosis is favorable in the patients after early and effective treatment.