The effect of the American Society of Anesthesiology classification scores on complications associated with percutaneous nephrolithotomy.
Arch Ital Urol Androl
; 90(2): 112-116, 2018 Jun 30.
Article
en En
| MEDLINE
| ID: mdl-29974726
ABSTRACT
OBJECTIVES:
We aimed to evaluate the effect of American Society of Anesthesiology (ASA) classification scoring and age on complications and surgical outcomes during and after percutaneous nephrolithotomy (PCNL) operation. MATERIAL ANDMETHODS:
The records of 263 patients, above the age of 18 years, that underwent PCNL surgery between October 2014 and May 2017 were evaluated retrospectively. The patients were divided into three groups based on their ASA risk scores (ASA 1, 2, 3) and into two groups based on their age (younger and older than 65 years). Postoperative complications were assessed according to the ASA groups and age and according to the Clavien classification system.RESULTS:
The number of patients in the ASA 1, 2, and 3 groups were 97 (36.8%), 131 (49.8%) and 35 (13.3%), respectively. Four patients in ASA4 were not included in the study. There was no significant difference in ASA 1, 2, 3 groups in terms of changes in Hgb values, mean duration of operation, and mean hospital stay. When ASA1 was compared to ASA3 and ASA2 was compared to ASA3, there was no significant difference in the incidence of all complication rates. There were 159 (60.4%) patients in the young group and 104 (39.5%) patients in the elderly group. Postoperative PCNL complications of these 2 groups were compared according to Clavien classification system and no significant difference was found in incidence of complications.CONCLUSIONS:
We believe that PCNL operation can be performed effectively and safely in both ASA3 patients and patients above the age of 65 years.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Nefrolitotomía Percutánea
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Arch Ital Urol Androl
Asunto de la revista:
MEDICINA REPRODUTIVA
/
NEFROLOGIA
/
UROLOGIA
Año:
2018
Tipo del documento:
Article