Clinical trial NCT06415253: Comparison of ARISCAT Score and Post-operative Pulmonary Complication Rate in Percutaneous Nephrolithotomy
Official title: Comparison of ARISCAT Score and Post-operative Pulmonary Complication Rate in Percutaneous Nephrolithotomy Cases: The Effect of Prone Position and Endoscopic Intervention
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Postoperative Complications
Nephrolithotomy, Percutaneous
Lead sponsor: Sanliurfa Mehmet Akif Inan Education and Research Hospital
Sponsor class: OTHER
First posted: 2024-05-16
Enrollment: 50
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The study included 50 ASA I-III patients aged between 18 and 80 years who were about to undergo percutaneous nephrolithotomy.

Brief summary: Postoperative pulmonary complications are relatively common in all age groups and are closely related to increased costs, morbidity and mortality in the postoperative period. In recent years, various risk indices have been developed for preoperative evaluation to predict postoperative pulmonary complications, such as the American Society of Anaesthesiologists Physical Status Classification (ASA), the Assessment of Respiratory Risk in Surgical Patients in Catalonia (ARISCAT). The ARISCAT score has demonstrated promising results in identifying patients at higher risk for pulmonary complications. The ARISCAT risk index is derived from multiple variables, including age, oxygen saturation, previous respiratory tract infections, anaemia, abdominal or thoracic surgery, operative time, and emergency surgery. The ARISCAT risk index is used to predict respiratory failure, bronchospasm, respiratory tract infections, atelectasis, pneumothorax, pleural effusion, and aspiration pneumonia.

Percutaneous nephrolithotomy (PNL) is a type of operation performed endoscopically in a prone position in cases of kidney stones that cannot be broken by extracorporeal shockwave lithotripsy (ESWL) and/or cannot be removed by ureterocystoscopy. The prone position is one of the positions that limits lung capacity and respiratory function. The objective of this study was to assess the relationship between the ARISCAT score in patients undergoing PNL and the occurrence of pulmonary complications in the postoperative period.


Eligibility criteria: Inclusion Criteria:

* American Society of Anesthesiologists (ASA) I-III patients
* Patients who undergone of Percutaneous Nephrolithotomy procedure

Exclusion Criteria:

* Patients with any liver and/or kidney failure
* Obese patients (body mass index (BMI) 30 and above)
* Trauma patients
* Cancer patients
* American Society of Anesthesiologists (ASA) IV patients
* Cardiac arrhythmia, implanted pacemakers
* A history of chronic pain

Primary outcomes:
measure: rate of pulmonary complication
timeFrame: The postoperative period in the first 24 hours
measure: rate of lung infection
timeFrame: The postoperative period in the first 72 hours
Secondary outcomes:
Other outcomes:
Locations:
city: Şanlıurfa
country: Turkey
facility: University of Health Science Turkey Sanliurfa Mehmet Akif Inan Training and Research Hospital
Study officials:
References: