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46; p=0.01) to be a risk factor. With q-SOFA, univariable analysis found that antibiotic use within 3 months prior to a PCNL (OR, 4.44; p=0.04), medical comorbidities (OR, 4.80; p=0.02), longer operative times (p0.001), lengthier post-operative hospitalization (p0.01), and greater total stone surface area (p0.0001) were risk factors for urosepsis. Multivariate analysis revealed that bladder outlet obstruction (OR, 2.74; p0.003) and pre-operative stenting (OR, 1.27; p=0.01) significantly increased odds of being q-SOFA posit