Factors influencing rate of testicular salvage in acute XXXX at a tertiary pediatric center.

@entity1 @entity158 @entity4115
INTRODUCTION: Studies have demonstrated that variables other than duration of symptoms can affect outcomes in @entity1 with acute @entity4115 . We examined demographic and logistical factors, including inter-hospital transfer, which may affect outcomes at a tertiary pediatric referral center. METHODS: We reviewed charts of all pediatric @entity1 with acute @entity4115 during a five-year period. Data were collected regarding age, insurance type, socioeconomic status, duration of symptoms prior to presentation, transfer status, time of day, time to surgical exploration, and testicular salvage. RESULTS: Our study included 114 @entity1 . Testicular salvage was possible in 55.3% of @entity1 . Thirty-one percent of @entity1 included in the study were transferred from another facility. Inter-hospital transfer did not affect testicular salvage rate. Time to surgery and duration of @entity158 were higher among @entity1 who underwent orchiectomy versus orchidopexy. @entity1 older than eight years of age were more likely to undergo orchidopexy than those younger than eight (61.5% vs. 30.4%, p=0.01). Ethnicity, insurance type, or time of day did not affect the testicular salvage rates. On multivariate analysis, only duration of symptoms less than six hours predicted testicular salvage (OR 22.5, p<0.001). CONCLUSION: Even though inter-hospital transfer delays definitive surgical management, it may not affect testicular salvage rates. Time to presentation is the most important factor in predicting outcomes in @entity1 with acute @entity4115 .
