Effectiveness of Early Ureteric Stenting for Urosepsis Associated with Urinary Tract Calculi

Objective Patients with urosepsis associated with urinary tract calculi occasionally require drainage, primarily via ureteric stenting. Such patients require longer hospitalization. However, the indications for early ureteric stenting for this condition have not been clearly defined. To compare the length of stay (LOS) in the hospital between patients treated with earlier ureteric stenting versus those with delayed ureteric stenting. Methods Design: Retrospective cohort study. Setting: An acute care teaching hospital in Japan. Measurement: Length of hospital stay in days. Patients Patients with urosepsis associated with urinary tract calculi. Results Among a total of 30 patients (mean age, 72; 13 men), the mean number of days from emergency room admission to ureteric stenting was 3.5 days (range, 1-14 days), and the overall mean LOS was 36 days (range, 8-102 days). The early stenting group (mean LOS, 21 days) had a significantly shorter LOS than the delayed stenting group (mean LOS, 50 days), with an adjusted beta coefficient of -26 days [ 95% confidence interval (CI), -46, -6]. Conclusion In patients with urosepsis associated with urinary tract calculi, performing early stenting within two days of admission may reduce the LOS in the hospital.