Findings of non-enhanced abdominal computed tomography for pain management of acute renal colic patients in the emergency department
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Shin, D.H.[Shin, D.H.] | - |
dc.contributor.author | Lee, Y.H.[Lee, Y.H.] | - |
dc.contributor.author | Park, S.O.[Park, S.O.] | - |
dc.date.accessioned | 2021-07-28T13:33:51Z | - |
dc.date.available | 2021-07-28T13:33:51Z | - |
dc.date.created | 2021-05-24 | - |
dc.date.issued | 2020-10 | - |
dc.identifier.issn | 1334-5605 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/6655 | - |
dc.description.abstract | Study Objectives: To identify non-enhanced computed tomography (NECT) findings related to repeated requirement of painkiller, hospitalization and revisits within 5 days of discharge among acute renal colic patients. Patients and methods: A retrospective observational study was performed for all patients (age > 18 years) with acute renal colic who visited the emergency department (ED) between 2012 and 2015. NECT findings of acute ureterolithiasis (size, location, hydronephroureter, perinephric infiltrations and soft-tissue rim sign) were analysed for their relationships to repeated administration of painkiller, hospitalization and ED revisit. Results: Of total 862 patients enrolled, 305 (35.4%) required repeated administration of pain medication. In the NECT findings, hydronephroureter was more prevalent in the repeated administration of painkiller group (61.3% vs. 53.7%), but did not show independent relationship. Sixty-eight (7.9%) were hospitalized and 44 (5.1%) returned to the ED. The significant findings associated with hospitalization were hydronephroureter (OR [Odd Ratio] 1.92, 95% CI [Confidence Intervals] 1.04–3.54) and mid (5–7 mm) / large-size (> 7mm) ureteral stones (OR 2.66, 95% CI 1.49–4.76 and OR 4.78, 95% CI 1.80–12.70). The soft-tissue rim signs (OR 2.16, 95%CI 1.07–4.37) and proximal/mid location of stones (OR 3.21, 95% CI 1.26–8.20 and OR 2.53, 95% CI 1.19–5.37) were independently associated with ED revisit. Conclusions: Among the NECT findings of acute ureterolithiasis, hydronephroureter and stones > 5 mm in size were independently associated with the need of hospitalization. The soft-tissue rim sign and proximal/mid location of stones were independently associated with ED revisit within 5 days. © 2020 The Authors. Published by MRE Press. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | Pharmamed Mado Ltd | - |
dc.title | Findings of non-enhanced abdominal computed tomography for pain management of acute renal colic patients in the emergency department | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Shin, D.H.[Shin, D.H.] | - |
dc.identifier.doi | 10.22514/sv.2020.16.0056 | - |
dc.identifier.scopusid | 2-s2.0-85094624371 | - |
dc.identifier.wosid | 000583292400021 | - |
dc.identifier.bibliographicCitation | Signa Vitae, v.16, no.2, pp.69 - 74 | - |
dc.relation.isPartOf | Signa Vitae | - |
dc.citation.title | Signa Vitae | - |
dc.citation.volume | 16 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 69 | - |
dc.citation.endPage | 74 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Emergency Medicine | - |
dc.relation.journalWebOfScienceCategory | Emergency Medicine | - |
dc.subject.keywordPlus | UNENHANCED HELICAL CT | - |
dc.subject.keywordPlus | URETERAL STONES | - |
dc.subject.keywordPlus | KIDNEY-STONES | - |
dc.subject.keywordPlus | FLANK PAIN | - |
dc.subject.keywordPlus | UROLITHIASIS | - |
dc.subject.keywordPlus | RIM | - |
dc.subject.keywordPlus | URETEROLITHIASIS | - |
dc.subject.keywordPlus | PREVALENCE | - |
dc.subject.keywordPlus | UROGRAPHY | - |
dc.subject.keywordPlus | ACCURACY | - |
dc.subject.keywordAuthor | Computed tomography | - |
dc.subject.keywordAuthor | Emergency departments | - |
dc.subject.keywordAuthor | Radiology | - |
dc.subject.keywordAuthor | Renal colic | - |
dc.subject.keywordAuthor | Urolithiasis | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(03063) 25-2, SUNGKYUNKWAN-RO, JONGNO-GU, SEOUL, KOREAsamsunglib@skku.edu
COPYRIGHT © 2021 SUNGKYUNKWAN UNIVERSITY ALL RIGHTS RESERVED.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.