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Impacto de la presentación tardía al servicio de Urgencias por cólico renal agudo en los resultados bioquímicos y clínicos / Impact of a delayed presentation to the emergency department for acute renal colic on biochemical and clinical outcomes
Mantica, G; Carrion, D. M; Antón-Juanilla, M; Pang, K. H; Parodi, S; Tappero, S; Rodriguez-Serrano, A; Crespo-Atín, V; Cansino, R; Scarps, R. M.
Afiliação
  • Mantica, G; University of Genova. Policlinico San Martino Hospital. Department of Urology. Genova. Italy
  • Carrion, D. M; European Society of Residents in Urology (ESRU). Arnhem. The Netherlands
  • Antón-Juanilla, M; Cruces University Hospita. Department of Urology. Vizcaya. Spain
  • Pang, K. H; European Society of Residents in Urology (ESRU). Arnhem. The Netherlands
  • Parodi, S; University of Genova. Policlinico San Martino Hospital. Department of Urology. Genova. Italy
  • Tappero, S; University of Genova. Policlinico San Martino Hospital. Department of Urology. Genova. Italy
  • Rodriguez-Serrano, A; Autonomous University of Madrid. La Paz University Hospital. Department of Urology. Madrid. Spain
  • Crespo-Atín, V; Cruces University Hospital. Department of Urology. Vizcaya. Spain
  • Cansino, R; Autonomous University of Madrid. La Paz University Hospital. Department of Urology. Madrid. Spain
  • Scarps, R. M; University of Rome. Campus Biomedico. Department of Urology. Rome. Italy
Actas urol. esp ; 47(1): 41-46, jan.- feb. 2023. tab
Artigo em Espanhol | IBECS | ID: ibc-214421
Biblioteca responsável: ES1.1
Localização: ES15.1 - BNCS
RESUMEN
Introducción y objetivo Verificar el impacto en los resultados bioquímicos y clínicos de la demora en acudir al servicio de Urgencias (SU) ante un cólico renal agudo. Materiales y métodos Los datos se recogieron retrospectivamente en 3 instituciones de 2 países europeos, desde el 1 de enero hasta el 30 de abril del 2020. Se incluyó a los pacientes que acudieron a Urgencias con un cólico renal unilateral o bilateral causado por urolitiasis confirmada por imagen durante el periodo de estudio. La consulta en el SU después de 24 h desde el inicio de los síntomas se consideró tardía. Los pacientes que acudieron antes de las 24 h desde el inicio de los síntomas se incluyeron en el grupo A y los pacientes que se presentaron después de las 24 h se adjudicaron al grupo B. Se compararon los parámetros clínicos y bioquímicos, así como el manejo recibido por cada paciente. Resultados Se analizó a 397 pacientes que acudieron a Urgencias con urolitiasis confirmada (grupo A, n = 199; grupo B, n = 198). La mediana (RIC) de demora hasta la consulta fue de 2 días (1,5-4). En el momento de la consulta, no se encontraron diferencias estadísticamente significativas entre los 2 grupos de pacientes en cuanto a los síntomas como fiebre y dolor en el flanco, o la mediana de los niveles séricos de creatinina, proteína C reactiva y leucocitos. No se encontraron diferencias en cuanto al tratamiento conservador o quirúrgico. Conclusiones La demora > 24 h hasta acudir al SU no se asocia a un empeoramiento de los parámetros bioquímicos ni de los resultados clínicos. La mayoría de los pacientes con dolor lumbar agudo no siempre necesitan acudir de forma inmediata a urgencias, pudiendo ser tratados en consultas externas (AU)
ABSTRACT
Introduction and objective To verify the impact of delay on biochemical and clinical outcomes for patients presenting to the emergency department (ED) with acute renal colic. Materials and methods Data were retrospectively collected from 3 institutions of 2 European countries between 01 January and 30 April 2020. Patients who presented to the ED with unilateral or bilateral renal colic caused by urolithiasis confirmed by imaging tests during the study period were included. A presentation after 24 hours since the onset of symptoms was considered a delay. Patients presenting before 24 hours from the symptom onset were included in Group A, while the patients presenting after 24 hours in Group B. Clinical and biochemical parameters and management were compared. Results 397 patients who presented to ED with confirmed urolithiasis were analyzed (Group A, n = 199; Group B, n = 198. The median (IQR) delay in presentation was 2 days (1,5-4). At presentation, no statistically significant differences were found amongst the 2 groups of patients regarding presenting symptoms such as fever and flank pain, and the median serum levels of creatinine, C reactive protein and white blood cells. No differences were found in terms of conservative or operative management. Conclusions Delay in consultation >24 hours is not associated with worsening biochemical parameters and clinical outcomes. Most patients with acute loin pain do not necessarily need urgent attendance to the ED and may be managed in the outpatients (AU)
Assuntos

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Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Serviço Hospitalar de Emergência / Urolitíase / Cólica Renal Limite: Adulto / Feminino / Humanos / Masculino Idioma: Espanhol Revista: Actas urol. esp Ano de publicação: 2023 Tipo de documento: Artigo Instituição/País de afiliação: Autonomous University of Madrid/Spain / Cruces University Hospita/Spain / Cruces University Hospital/Spain / European Society of Residents in Urology (ESRU)/The Netherlands / University of Genova/Italy / University of Rome/Italy
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Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Serviço Hospitalar de Emergência / Urolitíase / Cólica Renal Limite: Adulto / Feminino / Humanos / Masculino Idioma: Espanhol Revista: Actas urol. esp Ano de publicação: 2023 Tipo de documento: Artigo Instituição/País de afiliação: Autonomous University of Madrid/Spain / Cruces University Hospita/Spain / Cruces University Hospital/Spain / European Society of Residents in Urology (ESRU)/The Netherlands / University of Genova/Italy / University of Rome/Italy
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