Table 4.
Multivariable analysis assessing odds of ED visit and hospitalization following ureteroscopy associated with ureteral stent placement adjusting for provider and practice variation.
| ED Visit | Hospitalization | ||||||
|---|---|---|---|---|---|---|---|
| Adjusted Odds Ratio | 95% Confidence Interval | P-Value | Adjusted Odds Ratio | 95% Confidence Interval | P-Value | ||
| Stent placement (vs. no) | 1.25 | 1.01 – 1.54 | 0.0428 | 1.28 | 0.94 – 1.76 | 0.12 | |
| Age (unit change from mean) | 0.99 | 0.98 – 0.99 | <0.001 | 0.99 | 0.98 – 1.00 | 0.012 | |
| Gender | 0.011 | 0.6 | |||||
| Male (vs. female) | 0.87 | 0.74 – 1.03 | 1.06 | 0.83 – 1.35 | |||
| BMI | 0.7 | 0.9 | |||||
| ≤25 (vs. >35) | 0.89 | 0.70 – 1.14 | 1.10 | 0.78 – 1.56 | |||
| >25 - ≤30 (vs. >35) | 0.95 | 0.76 – 1.18 | 1.04 | 0.75 – 1.44 | |||
| >30 - ≤35 (vs. >35) | 1.02 | 0.81 – 1.28 | 0.96 | 0.67 – 1.37 | |||
| Insurance | 0.3 | 0.03 | |||||
| Private (vs. public) | 0.87 | 0.73 – 1.04 | 0.73 | 0.56 – 0.94 | |||
| None (vs. public) | 0.84 | 0.46 – 1.53 | 0.43 | 0.13 – 1.38 | |||
| Charlson Comorbidity Index | <0.001 | <0.001 | |||||
| 1 (vs. 0) | 1.26 | 1.00 – 1.58 | 1.57 | 1.14 – 2.17 | |||
| ≥2 (vs. 0) | 1.59 | 1.26 – 2.02 | 2.19 | 1.59 – 3.02 | |||
| Urine culture | 0.007 | 0.005 | |||||
| Positive (vs. negative) | 1.27 | 1.00 – 1.61 | 1.54 | 1.12 – 2.13 | |||
| Not performed (vs. negative) | 0.77 | 0.60 – 0.98 | 0.79 | 0.55 – 1.13 | |||
| Pre-stented (vs. no) | 0.73 | 0.60 – 0.88 | 0.001 | 1.02 | 0.78 – 1.33 | 0.9 | |
| Stone size, diameter | <0.001 | <0.001 | |||||
| >5mm - ≤10mm (vs. ≤5mm) | 0.69 | 0.57 – 0.83 | 0.56 | 0.42 – 0.74 | |||
| >10mm (vs. ≤5mm) | 0.81 | 0.63 – 1.05 | 0.9 | 0.63 – 1.28 | |||
| Stone location | <0.001 | 0.029 | |||||
| Kidney (vs. ureter) | 1.39 | 1.13 – 1.70 | 1.42 | 1.06 – 1.91 | |||
| Both (vs. ureter) | 1.47 | 1.18 – 1.83 | 1.41 | 1.02 – 1.95 | |||
| Ureteral access sheath (vs. no) | 1.22 | 1.01 – 1.48 | 0.043 | 1.25 | 0.95 – 1.64 | 0.12 | |
| Intraoperative complication (vs. no) | 2.40 | 1.27 – 4.55 | 0.007 | 1.5 | 0.53 – 4.25 | 0.4 | |