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

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 retrosp...

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Autores principales:	Chih-Yen Hsiao, Tsung-Hsien Chen, Yi-Chien Lee, Ming-Cheng Wang
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f12ecd77f1514e1daff49e0bf78a3507
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spelling	oai:doaj.org-article:f12ecd77f1514e1daff49e0bf78a35072021-12-05T12:15:00ZUreteral stone with hydronephrosis and urolithiasis alone are risk factors for acute kidney injury in patients with urinary tract infection10.1038/s41598-021-02647-82045-2322https://doaj.org/article/f12ecd77f1514e1daff49e0bf78a35072021-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02647-8https://doaj.org/toc/2045-2322Abstract 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.Chih-Yen HsiaoTsung-Hsien ChenYi-Chien LeeMing-Cheng WangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Chih-Yen Hsiao Tsung-Hsien Chen Yi-Chien Lee Ming-Cheng Wang Ureteral stone with hydronephrosis and urolithiasis alone are risk factors for acute kidney injury in patients with urinary tract infection
description	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.
format	article
author	Chih-Yen Hsiao Tsung-Hsien Chen Yi-Chien Lee Ming-Cheng Wang
author_facet	Chih-Yen Hsiao Tsung-Hsien Chen Yi-Chien Lee Ming-Cheng Wang
author_sort	Chih-Yen Hsiao
title	Ureteral stone with hydronephrosis and urolithiasis alone are risk factors for acute kidney injury in patients with urinary tract infection
title_short	Ureteral stone with hydronephrosis and urolithiasis alone are risk factors for acute kidney injury in patients with urinary tract infection
title_full	Ureteral stone with hydronephrosis and urolithiasis alone are risk factors for acute kidney injury in patients with urinary tract infection
title_fullStr	Ureteral stone with hydronephrosis and urolithiasis alone are risk factors for acute kidney injury in patients with urinary tract infection
title_full_unstemmed	Ureteral stone with hydronephrosis and urolithiasis alone are risk factors for acute kidney injury in patients with urinary tract infection
title_sort	ureteral stone with hydronephrosis and urolithiasis alone are risk factors for acute kidney injury in patients with urinary tract infection
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/f12ecd77f1514e1daff49e0bf78a3507
work_keys_str_mv	AT chihyenhsiao ureteralstonewithhydronephrosisandurolithiasisaloneareriskfactorsforacutekidneyinjuryinpatientswithurinarytractinfection AT tsunghsienchen ureteralstonewithhydronephrosisandurolithiasisaloneareriskfactorsforacutekidneyinjuryinpatientswithurinarytractinfection AT yichienlee ureteralstonewithhydronephrosisandurolithiasisaloneareriskfactorsforacutekidneyinjuryinpatientswithurinarytractinfection AT mingchengwang ureteralstonewithhydronephrosisandurolithiasisaloneareriskfactorsforacutekidneyinjuryinpatientswithurinarytractinfection
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Ureteral stone with hydronephrosis and urolithiasis alone are risk factors for acute kidney injury in patients with urinary tract infection

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