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Which objective emergency department parameters leads to expedited intervention in patients with acute urinary tract calculi

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Current Urology 2022年第1期16卷 1-4页

作者： Zachary Kranz greggory peifer Matthew Rohloff Thomas Maatman Kenneth Shockley Metro Health Hospital WyomingMIUSA Urology Metro Health HospitalWyomingMIUSA

Objectives:To retrospectively determine which objective measurements had an increased likelihood of requiring immediate surgical intervention in patients presenting to the emergency department(ED)with acute ureteral *** and methods:Employing our institution's electronic medical record system,we conducted a retrospective cohort study of 4366 patients who presented to the ED with an acute ureteral calculus over an 8-year *** consisting of relevant demographic information,vital signs,laboratory parameters,and interventional history was obtained and ***:This study consisted of 4366 patients presenting to the ED with acute ureteral calculi,of whom 312(7%)required a procedure prior to being *** these 312 patients,290(6.6%)underwent cystoscopy with ureteral stent placement and 22(0.5%)were sent to interventional radiology for percutaneous nephrostomy tube *** who tested positive for nitrites in their urine had a relative risk of 3.48 of receiving intervention when compared to the nitrite negative ***:Through this retrospective cohort study,we were able to find what objective measurements were associated with an increased need for immediate surgical intervention in patients who presented to the ED with acute ureteral *** this data,urologists can be better equipped to identify the patients that present in the emergency setting that will require urgent intervention.

关键词： Cystoscopy Emergent surgical intervention Objective measurements Ureteral calculi Urinary nitrates

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