History of Urinary Retention Is a Risk Factor for Infection after Prostate Biopsy

A Nationwide, Population-Based Cohort Study

Shu Ling Lin, Chang Te Lin, Wan Ting Huang, Yeong Chin Jou, Tzong Shin Tzai, Yuh-Shyan Tsai

研究成果: Article

摘要

Aim: Infection or bleeding after transrectal prostate biopsy remains a concern of both patients and urologists. We explored the risk of association of certain co-morbidities with both complications. Patients and Methods: Using the Taiwan National Health Insurance Research Database, we identified patients undergoing prostate biopsy from 2000 to 2013. We used logistic multivariable regression to search for associations between post-biopsy hospitalization and the two co-morbidities within a year after biopsy. Results: Among 3,601 prostate biopsies, 100 infections (3.77%) and 52 (1.44%) bleeding-related emergency room visits and hospitalizations were recorded within 30 days after biopsy. The group having the biopsy as an inpatient exhibited older age (p < 0.0001) and a higher percentage of having diabetes mellitus (p = 0.015) than patients without either complication. The logistic multivariable regression analysis showed that urinary retention, freedom from diabetes, and performance as an outpatient procedure were independent risk factors for infection-related hospitalization (odds ratios 1.81, 1.96, and 1.72; p values 0.031, 0.037, and 0.010, respectively). Conclusion: Patients with a recent history of urinary retention have a higher probability of infection-related hospitalization after prostate biopsy.

原文English
頁(從 - 到)202-207
頁數6
期刊Surgical Infections
20
發行號3
DOIs
出版狀態Published - 2019 四月 1

指紋

Urinary Retention
Prostate
Cohort Studies
Biopsy
Infection
Population
Hospitalization
Logistic Models
Hemorrhage
Morbidity
National Health Programs
Taiwan
Hospital Emergency Service
Inpatients
Diabetes Mellitus
Outpatients
Odds Ratio
Regression Analysis
Databases
Research

All Science Journal Classification (ASJC) codes

  • Surgery
  • Microbiology (medical)
  • Infectious Diseases

引用此文

Lin, Shu Ling ; Lin, Chang Te ; Huang, Wan Ting ; Jou, Yeong Chin ; Tzai, Tzong Shin ; Tsai, Yuh-Shyan. / History of Urinary Retention Is a Risk Factor for Infection after Prostate Biopsy : A Nationwide, Population-Based Cohort Study. 於: Surgical Infections. 2019 ; 卷 20, 編號 3. 頁 202-207.
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History of Urinary Retention Is a Risk Factor for Infection after Prostate Biopsy : A Nationwide, Population-Based Cohort Study. / Lin, Shu Ling; Lin, Chang Te; Huang, Wan Ting; Jou, Yeong Chin; Tzai, Tzong Shin; Tsai, Yuh-Shyan.

於: Surgical Infections, 卷 20, 編號 3, 01.04.2019, p. 202-207.

研究成果: Article

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AU - Tsai, Yuh-Shyan

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N2 - Aim: Infection or bleeding after transrectal prostate biopsy remains a concern of both patients and urologists. We explored the risk of association of certain co-morbidities with both complications. Patients and Methods: Using the Taiwan National Health Insurance Research Database, we identified patients undergoing prostate biopsy from 2000 to 2013. We used logistic multivariable regression to search for associations between post-biopsy hospitalization and the two co-morbidities within a year after biopsy. Results: Among 3,601 prostate biopsies, 100 infections (3.77%) and 52 (1.44%) bleeding-related emergency room visits and hospitalizations were recorded within 30 days after biopsy. The group having the biopsy as an inpatient exhibited older age (p < 0.0001) and a higher percentage of having diabetes mellitus (p = 0.015) than patients without either complication. The logistic multivariable regression analysis showed that urinary retention, freedom from diabetes, and performance as an outpatient procedure were independent risk factors for infection-related hospitalization (odds ratios 1.81, 1.96, and 1.72; p values 0.031, 0.037, and 0.010, respectively). Conclusion: Patients with a recent history of urinary retention have a higher probability of infection-related hospitalization after prostate biopsy.

AB - Aim: Infection or bleeding after transrectal prostate biopsy remains a concern of both patients and urologists. We explored the risk of association of certain co-morbidities with both complications. Patients and Methods: Using the Taiwan National Health Insurance Research Database, we identified patients undergoing prostate biopsy from 2000 to 2013. We used logistic multivariable regression to search for associations between post-biopsy hospitalization and the two co-morbidities within a year after biopsy. Results: Among 3,601 prostate biopsies, 100 infections (3.77%) and 52 (1.44%) bleeding-related emergency room visits and hospitalizations were recorded within 30 days after biopsy. The group having the biopsy as an inpatient exhibited older age (p < 0.0001) and a higher percentage of having diabetes mellitus (p = 0.015) than patients without either complication. The logistic multivariable regression analysis showed that urinary retention, freedom from diabetes, and performance as an outpatient procedure were independent risk factors for infection-related hospitalization (odds ratios 1.81, 1.96, and 1.72; p values 0.031, 0.037, and 0.010, respectively). Conclusion: Patients with a recent history of urinary retention have a higher probability of infection-related hospitalization after prostate biopsy.

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