Comparative Assessment of Urological Emergency Cases Before and After the COVID-19 Outbreak

Abstract

Objectives: Coronavirus disease-2019 (COVID-19) pandemic originated from China and has affected all countries in the world as well as Türkiye. In our study, we aimed to evaluate the effects of COVID-19 pandemic on urological emergency admissions. Materials and Methods: Urological emergency admissions between March 2019-February 2020 and March 2020-February 2021 periods were noted and evaluated in detail. The admissions were divided into two groups as non-traumatic and traumatic admissions for both periods. Traumatic and non-traumatic admissions were analyzed in detail and statistical analysis was performed in order to analyse the differences in terms of admission type and gender. Results: Two thousand two hundred fifty-two cases were evaluated (1,096 before the pandemic, 1,156 after the pandemic). The renal traumas, ureteral traumas, bladder traumas, penile traumas, scrotal traumas, simultaneous penile and scrotal traumas and other trauma types were evaluated in detail. Non-traumatic urological emergencies were also investigated for the same time periods. Testicular torsions, acute scrotum, urinary tract infections, fournier gangrenes, hematuria, urolithiasis, glob vesicale, pregnants with urological complaints, priapism and other urological conditions were seen and evaluated in detail. Statistically significant difference has been observed between the periods. Conclusion: Emergency admissions have been affected by the COVID-19 pandemic. The deferred complaints changed the emergency admission conditions. Most of the people delayed their routine outpatient clinic follow-ups or their first admissions due to the disease transmission concerns. These factors have resulted in changes and mostly caused late diagnosis and treatment.

Keywords

• COVID-19
• pandemic
• outbreak
• urological emergency
• emergency

COVID-19 Pandemisi Öncesi ve Sonrası Ürolojik Acil Olguların Karşılaştırmalı Değerlendirmesi

Abstract

Amaç: Çin kaynaklı koronavirüs hastalığı-2019 (COVID-19) pandemisi, Türkiye’nin yanı sıra tüm dünya ülkelerini etkisi altına aldı. Çalışmamızda COVID-19 salgınının ürolojik acil başvurulara etkilerini değerlendirmeyi amaçladık. Gereç ve Yöntem: Mart 2019-Şubat 2020 ve Mart 2020-Şubat 2021 dönemleri arasındaki ürolojik acil başvuruları kayıt edilerek detaylı olarak değerlendirildi. Başvurular her iki dönem için de travmatik ve travmatik olmayan başvurular olarak iki gruba ayrıldı. Travmatik ve travmatik olmayan başvurular ayrıntılı olarak incelendi ve istatistiksel analiz yapıldı. İstatistiksel analiz, başvuru nedenlerine ve cinsiyete göre farklılıkları ortaya koymak için yapıldı. Bulgular: İki bin iki yüz elli olgu değerlendirildi (pandemiden önce 1096, pandemiden sonra 1156). Böbrek travmaları, üreter travmaları, mesane travmaları, penis travmaları, skrotal travmalar, eş zamanlı penil ve skrotal travmalar ve diğer travma türleri detaylı olarak değerlendirildi. Aynı zaman dilimlerinde travmatik olmayan ürolojik aciller de araştırıldı. Testis torsiyonları, akut skrotum, idrar yolu enfeksiyonları, fournier gangren, hematüri, ürolitiazis, glob vesikale, ürolojik şikayeti olan gebeler, priapizm ve diğer ürolojik patolojiler detaylı olarak değerlendirildi. Dönemler arasında istatistiksel olarak anlamlı farklılıklar gözlenmiştir. Sonuç: Acil servis başvuruları COVID-19 salgınından etkilendi ve ertelenen şikayetler acil başvurularını değiştirdi. Çoğu kişi hastalık bulaşma endişesi nedeniyle rutin poliklinik takiplerini ya da ilk başvurularını erteledi. Ertelenen başvurular çoğunlukla geç tanı ve tedaviye neden olmuştur.

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