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Revista de la Facultad de Medicina Humana
versión impresa ISSN 1814-5469versión On-line ISSN 2308-0531
Resumen
TAYPE-HUAMANI, Waldo; AYALA-GARCIA, Ricardo; RODRIGUEZ-GONZALES, Ricardo y AMADO-TINEO, José. Characteristics and evolution of patients with urinary lithiasis in emergency of a tertiary hospital. Rev. Fac. Med. Hum. [online]. 2020, vol.20, n.4, pp.608-613. ISSN 1814-5469. http://dx.doi.org/10.25176/rfmh.v20i4.2922.
Introduction:
The symptoms and complications of urinary lithiasis are a frequent cause of emergency care.
Objective:
To determine the characteristics and evolution of patients with urolithiasis treated in the emergency service of a tertiary social security hospital. Methods: Observational study carried out at the Rebagliati Lima-Peru hospital, during the first quarter of 2019. Sociodemographic variables, time and emergency indicators of the institutional statistical system were evaluated, performing descriptive statistics with IBM SPSS 25.0 .
Results:
There were 583 visits for urinary lithiasis (194 per month), corresponding to 14% of the genito-urinary pathology seen in the evaluated service. 55% male, average age 48 years (range 14 to 92). Mainly treated for topical surgery and priority 3, the most frequent causes of pain, infection and hematuria. Time of first attention 4.8 hours, 70% leaving discharge. 10.5% were admitted to observation rooms with an average stay of 77 hours (3.2 days), 51% were hospitalized, 31% were discharged, 3% operated, and 2% died.
Conclusion:
Urinary lithiasis occurs in 1 out of 7 genitourinary pathology attentions of the emergency service evaluated predominantly in males of average age 10% are admitted to the observation room with a short stay and low mortality.
Palabras clave : Urolithiasis; Emergency Medical Services; renal colic; diagnosis. (source: MeSH NLM)..