Evaluation of post-holmium laser enucleation of the prostate hospital readmissions
Gulhane Medical Journal, cilt.62, sa.3, ss.170-173, 2020 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 62 Sayı: 3
- Basım Tarihi: 2020
- Doi Numarası: 10.4274/gulhane.galenos.2020.1017
- Dergi Adı: Gulhane Medical Journal
- Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.170-173
- Anahtar Kelimeler: After, Complication, Holep, Post, Readmission
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aims: Re-admission to the hospital after operation and discharge has become a topic of increasing interest in recent decades and is being studied due to its impact on countries' medical costs. We tried to examine the rates and causes of re-admission to the hospital in 30 days in patients who performed Holmium Laser Enucleation of the Prostate (HoLEP), a popular minimally invasive surgery in recent years. Methods: Patients who underwent HoLEP between July 2017 and April 2019 were retrospectively reviewed. Reasons and rates of re-admission to the hospital in the first 30 days of 300 patients meeting the inclusion criteria, and the way managing the situations were recorded. Results: In our study, readmission after HoLEP was observed in 26 patients (26/300) as 8.67% rate with nonspecific and specific causes. Other than nonspecific reasons, hematuria requiring or not requiring transfusion was the most common cause of readmission (2.3%). The second most common reason for readmission was acute urinary retention requiring three-day anti-inflammatory therapy and recatheterization (1.67%). Urinary tract infection (1.33%) requiring oral or intravenous antibiotic therapy was the third most common specific cause. Conclusions: In the literature, readmission rates after HoLEP change between 5.5% and 17.8%. Readmission rate in our study was 8.67%, which is compatible with the literature. Knowing the reasons and rates of readmission after HoLEP is important to predict early complications after surgery and to manage these complications.