| Factors influencing bladder stone formation in patients with spinal cord injury. | |
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MedLine Citation:
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PMID: 15478528 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Terry Favazza; Meena Midha; Jessicca Martin; B Mayer Grob |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The journal of spinal cord medicine Volume: 27 ISSN: 1079-0268 ISO Abbreviation: J Spinal Cord Med Publication Date: 2004 |
Date Detail:
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Created Date: 2004-10-13 Completed Date: 2004-12-14 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9504452 Medline TA: J Spinal Cord Med Country: United States |
Other Details:
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Languages: eng Pagination: 252-4 Citation Subset: IM |
Affiliation:
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Hunter Holmes McGuire Veterans Hospital, Richmond, Virginia, USA. |
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| MeSH Terms | |
Descriptor/Qualifier:
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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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