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Risk factors of concurrent urinary sepsis in patients with diabetes mellitus comorbid with upper urinary tract calculi

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世界糖尿病杂志:英文版(电子版) 2023年第9期14卷 1403-1411页

作者： Jian-Jie Gou Chao Zhang Hai-Song Han Hong-Wei Wu Department of Urology Surgery People’s Hospital of JinchengJincheng 048000Shanxi ProvinceChina Emergency Department People’s Hospital of JinchengJincheng 048000Shanxi ProvinceChina

BACKGROUND urinary sepsis is frequently seen in patients with diabetes mellitus(DM)complicated with upper urinary tract calculi(UUTCs).Currently,the known risk factors of urinary sepsis are not *** To analyze the risk factors of concurrent urinary sepsis in patients with DM complicated with UUTCs by logistic *** We retrospectively analyzed 384 patients with DM complicated with UUTCs treated in People’s Hospital of Jincheng between February 2018 and May *** patients were screened according to the inclusion and exclusion criteria,and 204 patients were *** patients were assigned to an occurrence group(n=78)and a nonoccurrence group(n=126).Logistic regression was adopted to analyze the risk factors for urinary sepsis,and a risk prediction model was *** Gender,age,history of lumbago and abdominal pain,operation time,urine leukocytes(U-LEU)and urine glucose(U-GLU)were independent risk factors for patients with concurrent urinary sepsis(Purinary sepsis in patients was 0.801,with specificity of 73.07%,sensitivity of 79.36%and Youden index of 52.44%.CONCLUSION Sex,age,history of lumbar and abdominal pain,operation time,ULEU and UGLU are independent risk factors for urogenic sepsis in diabetic patients with UUTC.

关键词： Diabetes mellitus Upper urinary tract calculi urinary sepsis Risk factors Risk prediction model Logistic regression Concurrent urinary sepsis

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