Document Detail


Factors influencing bladder stone formation in patients with spinal cord injury.
MedLine Citation:
PMID:  15478528     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Bladder stones that form in patients with spinal cord injury (SCI) can cause significant morbidity. This study sought to analyze factors associated with bladder stone formation to determine which patients might be at increased risk to develop bladder stones. METHODS: A review of 56 SCI patients treated for bladder calculi over a 10-year period at a single institution was performed. These patients were compared with a control population of general SCI patients known to be stone free. The factors compared were patient age, duration of injury, level of injury, completeness of injury, method of bladder management, and the presence of documented urinary tract infections with urease-producing organisms. RESULTS: All patients with stones were male and had a median age of 58.5 years. The median level of injury was C6, the median time since injury was 21 years, 66% had complete injuries, 68% managed their bladders with indwelling catheters or suprapubic tubes, and 83% had a history of infections with urease-producing organisms. When compared with the control group, patients forming bladder stones were older (P = 0.03), were more likely to have indwelling catheters (P < 0.0001), had a history of infections with urease-producing organisms (P = 0.04), and had complete injuries (P = 0.018). CONCLUSION: This information can be used to identify patients who have an increased risk of bladder stones and measures can be taken to reduce their incidence and morbidity.
Authors:
Terry Favazza; Meena Midha; Jessicca Martin; B Mayer Grob
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of spinal cord medicine     Volume:  27     ISSN:  1079-0268     ISO Abbreviation:  J Spinal Cord Med     Publication Date:  2004  
Date Detail:
Created Date:  2004-10-13     Completed Date:  2004-12-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9504452     Medline TA:  J Spinal Cord Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  252-4     Citation Subset:  IM    
Affiliation:
Hunter Holmes McGuire Veterans Hospital, Richmond, Virginia, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Aged, 80 and over
Female
Humans
Male
Middle Aged
Retrospective Studies
Risk Factors
Severity of Illness Index
Sex Factors
Spinal Cord Injuries / complications*
Urinary Bladder Calculi / etiology*
Urinary Catheterization / adverse effects
Urinary Tract Infections / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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