Ureteral stone with hydronephrosis and urolithiasis alone are risk factors for acute kidney injury in patients with urinary tract infection

doi:10.1038/s41598-021-02647-8

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Title:	Ureteral stone with hydronephrosis and urolithiasis alone are risk factors for acute kidney injury in patients with urinary tract infection
Authors:	Hsiao, Chih-Yen Chen, Tsung-Hsien Lee, Yi-Chien Wang, Ming-Cheng
Contributors:	ChiaYi Christian Hosp, Ditmanson Med Fdn, Dept Internal Med, Div Nephrol Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm ChiaYi Christian Hosp, Ditmanson Med Fdn, Dept Internal Med Fu Jen Cathol Univ, Fu Jen Cathol Univ Hosp, Dept Internal Med Fu Jen Cathol Univ, Coll Med, Sch Med Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Coll Med, Dept Internal Med,Div Nephrol
Keywords:	SEPTIC SHOCK UROSEPTIC SHOCK OBSTRUCTION PYELONEPHRITIS GUIDELINES MANAGEMENT THERAPY DISEASE
Date:	2021
Issue Date:	2023-11-11 11:42:54 (UTC+8)
Publisher:	NATURE PORTFOLIO
Abstract:	To identify whether urolithiasis with or without hydronephrosis has an impact on acute kidney injury (AKI) in patients with urinary tract infection (UTI). This study aimed to identify whether urolithiasis with or without hydronephrosis has an impact on AKI in patients with UTI. This retrospective study enrolled hospitalized UTI patients who underwent imaging in an acute care setting from January 2006 to April 2019. Of the 1113 participants enrolled, 191 (17.2%) had urolithiasis and 76 (6.8%) had ureteral stone complicated with hydronephrosis. Multivariate logistic regression analysis showed that in UTI patients with urolithiasis, the presence of ureteral stone with concomitant hydronephrosis was an independent risk factor for AKI (odds ratio [OR] 2.299, 95% confidence interval [CI] 1.112-4.755, P = 0.025). In addition, urolithiasis was associated with an increased risk for AKI (OR 2.451, 95% CI 1.369-4.389, P = 0.003) in UTI patients without hydronephrosis. The presence of ureteral stone with hydronephrosis increases the risk for AKI of UTI patients with urolithiasis, and urolithiasis remains a risk factor of AKI in UTI patients without hydronephrosis.
Relation:	SCI REP-UK, v.11, n.1, pp.23333
Appears in Collections:	[Dept. of Hospital and Health (including master's program)] Periodical Articles

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