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JYMS : Journal of Yeungnam Medical Science

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Hyun Tae Kim 4 Articles
Significance of albumin to globulin ratio as a predictor of febrile urinary tract infection after ureteroscopic lithotripsy
Seung Yun Yi, Dong Jin Park, Kyungchan Min, Jae-Wook Chung, Yun-Sok Ha, Bum Soo Kim, Hyun Tae Kim, Tae-Hwan Kim, Eun Sang Yoo
Yeungnam Univ J Med. 2021;38(3):225-230.   Published online April 20, 2021
DOI: https://doi.org/10.12701/yujm.2021.00955
  • 4,901 View
  • 67 Download
  • 5 Crossref
AbstractAbstract PDF
Background
We aimed to analyze the effectiveness of albumin to globulin ratio (AGR) in predicting postoperative febrile urinary tract infection (fUTI) after ureteroscopic lithotripsy (URS) and retrograde intrarenal surgery (RIRS).
Methods
From January 2013 to May 2018, 332 patients underwent URS and RIRS. The rate of postoperative fUTI and risk factors for postoperative fUTI were analyzed using logistic regression. Patients were divided into postoperative fUTI and non-postoperative fUTI (non-fUTI) groups. AGR with other demographic and perioperative data were compared between the two groups to predict the development of fUTI after URS.
Results
Of the 332 patients, postoperative fUTI occurred in 41 (12.3%). Preoperative pyuria, microscopic hematuria, diabetes mellitus, hypoalbuminemia, and hyperglobulinemia were more prevalent in the fUTI group. Patients in the fUTI group had larger stone size, lower preoperative AGR, longer operation time, and longer preoperative antibiotic coverage period. In a multivariable logistic analysis, preoperative pyuria, AGR, and stone size were independently correlated with postoperative fUTI (p<0.001, p=0.008, and p=0.041, respectively). Receiver operating curve analysis showed that the cutoff value of AGR that could predict a high risk of fUTI after URS was 1.437 (sensitivity, 77.3%; specificity, 76.9%), while the cutoff value of stone size was 8.5 mm (sensitivity, 55.3%; specificity, 44.7%).
Conclusion
This study demonstrated that preoperative pyuria, AGR, and stone size can serve as prognostic factors for predicting fUTI after URS.

Citations

Citations to this article as recorded by  
  • Common hematological and biochemical parameters for predicting urinary tract infections in geriatric patients with hip fractures
    Wanyun Tang, Wei Yao, Wei Wang, Qiaomei Lv, Wenbo Ding, RenJian He
    Frontiers in Medicine.2024;[Epub]     CrossRef
  • Metabolomic Changes Associated with AGXT2 Genotype Variants and Stone Formation in a Colony of Cats
    Jean A. Hall, Jeffrey A. Brockman, John J. Brejda, Dennis E. Jewell
    Genes.2024; 15(10): 1264.     CrossRef
  • An analysis of bacteriuria rates after endourological procedures
    Nethravathy Billava Seenappa, Maneesh Sinha, Thyagaraj Krishna Prasad, Venkatesh Krishnamoorthy
    International Journal of Urological Nursing.2023; 17(1): 45.     CrossRef
  • Nutritional and Inflammatory Indices and the Risk of Surgical Site Infection After Fragility Hip Fractures: Can Routine Blood Test Point to Patients at Risk?
    Tal Frenkel Rutenberg, Rana Gabarin, Vitali Kilimnik, Efrat Daglan, Moti Iflah, Shani Zach, Shai Shemesh
    Surgical Infections.2023; 24(7): 645.     CrossRef
  • Prognostic value of albumin-to-globulin ratio in COVID-19 patients: A systematic review and meta-analysis
    Juan R. Ulloque-Badaracco, Melany D. Mosquera-Rojas, Enrique A. Hernandez-Bustamante, Esteban A. Alarcón-Braga, Percy Herrera-Añazco, Vicente A. Benites-Zapata
    Heliyon.2022; 8(5): e09457.     CrossRef
Oncological and functional outcomes following robot-assisted laparoscopic radical prostatectomy at a single institution: a minimum 5-year follow-up
Jun-Koo Kang, Jae-Wook Chung, So Young Chun, Yun-Sok Ha, Seock Hwan Choi, Jun Nyung Lee, Bum Soo Kim, Ghil Suk Yoon, Hyun Tae Kim, Tae-Hwan Kim, Tae Gyun Kwon
Yeungnam Univ J Med. 2018;35(2):171-178.   Published online December 31, 2018
DOI: https://doi.org/10.12701/yujm.2018.35.2.171
  • 6,512 View
  • 59 Download
  • 1 Crossref
AbstractAbstract PDF
Background
To evaluate mid-term oncological and functional outcomes in patients with prostate cancer treated by robot-assisted laparoscopic radical prostatectomy (RALP) at our institution.
Methods
We retrospectively reviewed the medical records of 128 patients with prostate cancer who underwent RALP at our institution between February 2008 and April 2010. All patients enrolled in this study were followed up for at least 5 years. We analyzed biochemical recurrence (BCR)-free survival using a Kaplan-Meier survival curve analysis and predictive factors for BCR using multivariate Cox regression analysis. Continence recovery rate, defined as no use of urinary pads, was also evaluated.
Results
Based on the D’Amico risk classification, there were 30 low-risk patients (23.4%), 47 intermediaterisk patients (38.8%), and 51 high-risk patients (39.8%), preoperatively. Based on pathological findings, 50.0% of patients (64/128) showed non-organ confined disease (≥T3a) and 26.6% (34/128) had high grade disease (Gleason score ≥8). During a median follow-up period of 71 months (range, 66-78 months), the frequency of BCR was 33.6% (43/128) and the median BCR-free survival was 65.9 (0.4-88.0) months. Multivariate Cox regression analysis revealed that high grade disease (Gleason score ≥8) was an independent predictor for BCR (hazard ratio=4.180, 95% confidence interval=1.02-17.12, p=0.047). In addition, a majority of patients remained continent following the RALP procedure, without the need for additional intervention for post-prostatectomy incontinence.
Conclusion
Our study demonstrated acceptable outcomes following an initial RALP procedure, despite 50% of the patients investigated demonstrating high-risk features associated with non-organ confined disease.

Citations

Citations to this article as recorded by  
  • Prediction of a positive surgical margin and biochemical recurrence after robot-assisted radical prostatectomy
    Ching-Wei Yang, Hsiao-Hsien Wang, Mohamed Fayez Hassouna, Manish Chand, William J. S. Huang, Hsiao-Jen Chung
    Scientific Reports.2021;[Epub]     CrossRef
A Case of Hypomyopathic Dermatomyositis.
Hyun Tae Kim, Hyun Wook Lee, Byung Jin Kwon, Ji Eun Lee, Dong Ho Oh, Min Su Sohn, Jung Ran Choi
Yeungnam Univ J Med. 2011;28(2):202-205.   Published online December 31, 2011
DOI: https://doi.org/10.12701/yujm.2011.28.2.202
  • 2,233 View
  • 5 Download
AbstractAbstract PDF
Dermatomyositis is a rare and idiopathic inflammatory myopathy with a characteristic cutaneous manifestation. A 62-year-old female complained of polyarthralgia that lasted for many years. She was diagnosed with hypomyopathic dermatomyositis by the typical skin rash associated with dermatomyositis but without muscle involvement such as muscle weakness, elevated level of creatinine phosphokinase and aldolase. Her symptoms improved with treatment of hydroxychloroquine and prednisolone. We experienced a case of hypomyopathic dermatomyositis on 62-year-old female patient and report with review of literatures.
A Case of Gastric Wall Hematoma and Ischemic Necrosis After Endoscopic Biopsy.
You Min Kim, Jin Sung Lee, Dong Hee Kim, Young Ho Sung, Sun Taek Choi, Hyun Tae Kim, Hyun Wook Lee, Keung Ok Kim
Yeungnam Univ J Med. 2010;27(2):159-164.   Published online December 31, 2010
DOI: https://doi.org/10.12701/yujm.2010.27.2.159
  • 2,092 View
  • 2 Download
  • 2 Crossref
AbstractAbstract PDF
Hematoma of gastric wall is very rare, and occasionally associated with coagulopathy, trauma, peptic ulcer disease, and therapeutic endoscopy. Ischemic gastric necrosis is also rare because of the abundant anastomotic supply to the stomach, and it is usually associated with surgery and disruption of the major vessels. Endoscopic submucosal injection of hypertonic saline-epinephrine (HS-E) is a safe, cost-effective, and widely used therapy for hemostasis but it may cause tissue necrosis and perforation. We describe a case of gastric wall hematoma with oozing bleeding after endoscopic gastric mucosa biopsy in 71-year old woman with chronic renal failure and angina pectoris undergoing anti-platelet medication. We injected a small dose of HS-E (7ml) for controlling oozing bleeding. Two days later, endoscopy showed huge ulcer with necrotic tissue at the site of previously hematoma. Therefore we should pay particular attention for hematoma and mucosal necrosis when performing endoscopic procedure in a patients with high bleeding and atherosclerotic risk.

Citations

Citations to this article as recorded by  
  • A Case of Gastric Intramural Hematoma after Endoscopic Injection of Hypertonic Saline-Epinephrine for Hemostasis
    Jun Hwa Song, Sin Kil Moon, Seong Deuk Baek, Jae Uk Lee, So Yeon Jung
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2015; 15(1): 64.     CrossRef
  • Gastric Submucosal Hematoma after Endoscopic Hemostasis in Patient with Dual Antiplatelet Therapy
    Taeyun Kim, Heung Up Kim, Hyun Joo Song
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2012; 12(2): 112.     CrossRef

JYMS : Journal of Yeungnam Medical Science
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