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Predictive value of CD3+ cells and interleukin 2 receptor in systemic inflammatory response syndrome after percutaneous nephrolithotomy
by
Huang, Qiu
, Shang, Haojie
, Xia, Ding
, Tang, Kun
, Tong, Yonghua
, Liu, Xiao
, He, Yu
, Chen, Zhiqiang
, Peng, Ejun
in
Anesthesia
/ Antibiotics
/ Biomarkers
/ Blood tests
/ Catheters
/ CD3 antigen
/ CD3+ cells
/ Cell culture
/ Cytokines
/ Hospitals
/ Humans
/ IL-2R
/ Immune response
/ Immunology
/ Infections
/ Inflammation
/ Interleukin 2
/ Interleukin 2 receptors
/ Kidney stones
/ Leukocytes
/ Lymphocytes
/ Multivariate analysis
/ Nephrolithotomy, Percutaneous - adverse effects
/ nomogram
/ Nomograms
/ Normal distribution
/ Patients
/ percutaneous nephrolithotomy
/ Proteins
/ Receptors, Interleukin-2
/ Retrospective Studies
/ Risk factors
/ Sepsis
/ Statistical analysis
/ Surgery
/ Systemic inflammatory response syndrome
/ Systemic Inflammatory Response Syndrome - etiology
/ Tomography
/ Tumor necrosis factor-TNF
/ Urine
/ Urogenital system
2022
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Predictive value of CD3+ cells and interleukin 2 receptor in systemic inflammatory response syndrome after percutaneous nephrolithotomy
by
Huang, Qiu
, Shang, Haojie
, Xia, Ding
, Tang, Kun
, Tong, Yonghua
, Liu, Xiao
, He, Yu
, Chen, Zhiqiang
, Peng, Ejun
in
Anesthesia
/ Antibiotics
/ Biomarkers
/ Blood tests
/ Catheters
/ CD3 antigen
/ CD3+ cells
/ Cell culture
/ Cytokines
/ Hospitals
/ Humans
/ IL-2R
/ Immune response
/ Immunology
/ Infections
/ Inflammation
/ Interleukin 2
/ Interleukin 2 receptors
/ Kidney stones
/ Leukocytes
/ Lymphocytes
/ Multivariate analysis
/ Nephrolithotomy, Percutaneous - adverse effects
/ nomogram
/ Nomograms
/ Normal distribution
/ Patients
/ percutaneous nephrolithotomy
/ Proteins
/ Receptors, Interleukin-2
/ Retrospective Studies
/ Risk factors
/ Sepsis
/ Statistical analysis
/ Surgery
/ Systemic inflammatory response syndrome
/ Systemic Inflammatory Response Syndrome - etiology
/ Tomography
/ Tumor necrosis factor-TNF
/ Urine
/ Urogenital system
2022
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Predictive value of CD3+ cells and interleukin 2 receptor in systemic inflammatory response syndrome after percutaneous nephrolithotomy
by
Huang, Qiu
, Shang, Haojie
, Xia, Ding
, Tang, Kun
, Tong, Yonghua
, Liu, Xiao
, He, Yu
, Chen, Zhiqiang
, Peng, Ejun
in
Anesthesia
/ Antibiotics
/ Biomarkers
/ Blood tests
/ Catheters
/ CD3 antigen
/ CD3+ cells
/ Cell culture
/ Cytokines
/ Hospitals
/ Humans
/ IL-2R
/ Immune response
/ Immunology
/ Infections
/ Inflammation
/ Interleukin 2
/ Interleukin 2 receptors
/ Kidney stones
/ Leukocytes
/ Lymphocytes
/ Multivariate analysis
/ Nephrolithotomy, Percutaneous - adverse effects
/ nomogram
/ Nomograms
/ Normal distribution
/ Patients
/ percutaneous nephrolithotomy
/ Proteins
/ Receptors, Interleukin-2
/ Retrospective Studies
/ Risk factors
/ Sepsis
/ Statistical analysis
/ Surgery
/ Systemic inflammatory response syndrome
/ Systemic Inflammatory Response Syndrome - etiology
/ Tomography
/ Tumor necrosis factor-TNF
/ Urine
/ Urogenital system
2022
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Predictive value of CD3+ cells and interleukin 2 receptor in systemic inflammatory response syndrome after percutaneous nephrolithotomy
Journal Article
Predictive value of CD3+ cells and interleukin 2 receptor in systemic inflammatory response syndrome after percutaneous nephrolithotomy
2022
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Overview
The aim of the current study was to evaluate the risk factors that influence the development of postoperative systemic inflammatory response syndrome (SIRS) after percutaneous nephrolithotomy (PCNL), including cytokines and lymphocyte subsets.
A total of 154 patients who underwent PCNL at our hospital between October 2019 and January 2022 were retrospectively reviewed. The development of post-PCNL SIRS was the primary endpoint of the study. Univariable analysis and multivariable logistic regression analysis were performed to identify independent risk factors of post-PCNL SIRS. A nomogram was constructed using the independent risk factors, and receiver operating characteristic (ROC) curves were drawn.
There were 50 patients (32.5%) who developed SIRS after PCNL. In multivariate analysis, positive urine culture (odds ratio [OR], 3.556;
= 0.048), long operation time (OR, 1.011;
= 0.027), high IL-2R (OR, 1.002;
= 0.018), low percentage of CD3
cells (OR 0.931;
= 0.006), and high white blood cell (WBC) count (OR, 1.282
= 0.044) were independent risk factors for post-PCNL SIRS. These five significant variables were used to generate a nomogram that exhibited favorable fitting. The discrimination area under the ROC curves was 0.795.
Patients with long operation times, positive urine cultures, high interleukin 2 receptor, high white blood cell counts, and low percentages of CD3
cells may be at a higher risk of developing SIRS after PCNL. In these patients, cautious and comprehensive preoperative evaluations and appropriate treatment strategies should be considered.
Publisher
Frontiers Media SA,Frontiers Media S.A
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