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The Frequency and Distribution of Urological Diseases in Emergency Service Admissions During Covid-19 Pandemia Period

Year 2021, , 276 - 280, 20.09.2021
https://doi.org/10.54005/geneltip.996828

Abstract

Objective

We assessed the frequency and urgency of patients who admit to emergency room (ER) with urologic complaints during and before pandemia.





Materials and Methods

Patients(n=217) who admitted to ER with urologic complaints between March 11–June 01, 2020 during strict regulations in Turkey and patients(n=249) who admitted during the same period in 2019 included in the study. Patients’ demographics, diagnosis, frequency of admission to the ER and urology clinic(UC), treatments and triage codes were assessed.



Results

Diagnosis of patients were 60.1%(n=280) urinary tract infection, 20%(n=93) renal colic, 13.9%(n=65) urinary calculus, 4.1%(n=19) urinary retension, 1.1%(n=5) hematuria, 0.6%(n=3) orchitis, and 0.2%(n=1) scrotal trauma. 24(5.2%) patients had repetitive admissions to ER. Distribution of patients according to class of urgency were similar between 2019(yellow zone n=193, green zone n=56) and 2020(yellow zone n=156, green zone n=61, p=0.163). There was no significant difference between patients who admitted to ER in 2019 and 2020 regarding patients age(p=0.348) and gender(p=0.120). Frequency of repetitive admissions to the UC and ER were similar between 2019 and 2020(p=0.604 vs p=0.234). Rate of admission to the UC was similar in 2019 and 2020(p=0.809). Also distiribution of diagnosis was similar in 2019 and 2020(p=0.386). There was no difference between 2019 and 2020 regarding administered treatments(p=1.000).



Conclusions

The vast majority of patients presenting to the ER with urological complaints were patients with urinary tract infections and urinary stone disease. Even in a risky period like COVID-19 pandemia and despite strict regulations, patients’ admission rate to ER with their urological complaints didn’t change.

References

  • Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020.
  • Westhofen T, Magistro G, Lennartz S, Casuscelli J, Stief C, Rodler S. Confronting hidden COVID-19 burden: a telemedical solution for elective urological outpatient clinics. Infection. 2020;48(6):935-9.
  • Ojetti V, Covino M, Brigida M, Petruzziello C, Saviano A, Migneco A, et al. Non-COVID Diseases during the Pandemic: Where Have All Other Emergencies Gone? Medicina. 2020;56(10):512.
  • Oseran AS, Nash D, Kim C, Moisuk S, Lai P-Y, Pyhtila J, et al. Changes in hospital admissions for urgent conditions during COVID-19 pandemic. Am J Manag Care. 2020;26(8):327-8.
  • Wongtanasarasin W, Srisawang T, Yothiya W, Phinyo P. Impact of national lockdown towards emergency department visits and admission rates during the COVID-19 pandemic in Thailand: A hospital-based study. Emerg Med Australas. 2020.
  • Barten DG, Latten GH, Van Osch FH. Reduced emergency department utilization during the early phase of the COVID-19 pandemic: viral fear or lockdown effect? Disaster Med Public Health Prep. 2020:1-4.
  • Bugger H, Gollmer J, Pregartner G, Wünsch G, Berghold A, Zirlik A, et al. Complications and mortality of cardiovascular emergency admissions during COVID-19 associated restrictive measures. PLoS One. 2020;15(9):e0239801.
  • Madanelo M, Ferreira C, Nunes-Carneiro D, Pinto A, Rocha MA, Correia J, et al. The impact of the coronavirus disease 2019 pandemic on the utilisation of emergency urological services. BJU international. 2020;126(2):256-8.
  • Gallioli A, Albo G, Lievore E, Boeri L, Longo F, Spinelli MG, et al. How the COVID-19 Wave Changed Emergency Urology: Results From an Academic Tertiary Referral Hospital in the Epicentre of the Italian Red Zone. Urology. 2020.
  • Kumaira Fonseca M, Trindade EN, Costa Filho OP, Nácul MP, Seabra AP. Impact of COVID-19 Outbreak on the Emergency Presentation of Acute Appendicitis. The American Surgeon. 2020:0003134820972098.
  • Antonucci M, Recupero S, Marzio V, De Dominicis M, Pinto F, Foschi N, et al. El impacto de la COVID-19 en las admisiones al servicio de urgencias, hospitalizaciones y manejo clínico de la urolitiasis en el centro de Italia: análisis multicéntrico. Actas Urol Esp. 2020;44(9):611-6.
  • Pessoa-Amorim G, Camm CF, Gajendragadkar P, De Maria GL, Arsac C, Laroche C, et al. Admission of patients with STEMI since the outbreak of the COVID-19 pandemic. A survey by the European Society of Cardiology. European Heart Journal-Quality of Care and Clinical Outcomes. 2020.
  • Bozkurt O, Sen V, Irer B, Sagnak L, Onal B, Tanidir Y, et al. Nation-wide analysis of the impact of Covid-19 pandemic on daily urology practice in Turkey. Int J Clin Pract. 2020:e13735.
  • Simonato A, Giannarini G, Abrate A, Bartoletti R, Crestani A, De Nunzio C, et al. Pathways for urology patients during the COVID-19 pandemic. Minerva urologica e nefrologica= The Italian journal of urology and nephrology. 2020.
  • Ribal M, Cornford P, Briganti A, Knoll T, Gravas S, Babjuk M. EAU Guidelines Office Rapid Reaction Group: an organisation-wide collaborative effort to adapt the EAU guidelines recommendations to the COVID-19 era. Eur Urol. 2020;302(20):30324-9.
  • Socarrás MER, Esperto F, Bapstistussi MD, Barufaldi F, Vital MS, Papalia R, et al. Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era. International braz j urol. 2020;46:39-49.
  • Judson TJ, Odisho AY, Neinstein AB, Chao J, Williams A, Miller C, et al. Rapid design and implementation of an integrated patient self-triage and self-scheduling tool for COVID-19. J Am Med Inform Assoc. 2020;27(6):860-6.
  • Grasso AA, Massa G, Castelnuovo M. The Impact of COVID-19 Pandemic on Urological Emergencies: A Multicenter Experience on over 3,000 Patients. Urol Int. 2020:1-4.
  • Oikonomou E, Aznaouridis K, Barbetseas J, Charalambous G, Gastouniotis I, Fotopoulos V, et al. Hospital attendance and admission trends for cardiac diseases during the COVID-19 outbreak and lockdown in Greece. Public Health. 2020;187:115-9.
  • Bozovich GE, Alves De Lima A, Fosco M, Burgos LM, Martínez R, Dupuy De Lôme R, et al. Daño colateral de la pandemia por COVID-19 en centros privados de salud de Argentina. Medicina (B Aires). 2020;80.

Covid-19 Pandemi Dönemindeki Acil Servis Başvurularında Ürolojik Hastalıkların Sıklığı ve Aciliyet Durumuna Göre Dağılımı

Year 2021, , 276 - 280, 20.09.2021
https://doi.org/10.54005/geneltip.996828

Abstract

Amaç

Çalışmamızda pandemi dönemi ve öncesinde, ürolojik şikayetlerle acil servise başvuran hastaların sıklığı ve aciliyet durumuna göre dağılımları incelenmiştir.



Gereç ve Yöntem

Çalışmamıza ülkemizde COVID-19 pandemisinin başladığı ve sıkı kısıtlamaların uygulandığı 11 Mart 2020–1 Haziran 2020 tarihleri arasında acil servise ürolojik şikayetlerle başvuran erişkin hastalar (n=217) ve 2019 yılındaki aynı tarih aralığında acil servise başvuran hastalar (n=249) dahil edildi. Hastaların demografik verileri, başvuru tanıları, aynı şikayetler ile acil ve üroloji polikliniklerine başvuru sıklıkları, tedavileri ve triyaj kategorileri değerlendirildi.



Bulgular

Hastaların tanılarına göre dağılımları; %60,1(n=280) idrar yolu enfeksiyonu, %20(n=93) renal kolik, %13,9(n=65) üriner sistem taş hastalığı, %4,1(n=19) idrar retansiyonu, %1,1(n=5) hematüri, %0,6(n=3) orşit, %0,2(n=1) skrotal yaralanma olarak bulundu. 71(%15,2) hasta acil servis başvurusu sonrasında üroloji polikliniğine başvurdu. 24(%5,2) hastanın acil servise tekrarlayan başvurusu oldu. Hastaların aciliyet durumlarına göre dağılımlarında 2019(sarı alan n=193, yeşil alan n=56) ve pandemi dönemi(sarı alan n=156, yeşil alan n=61) arasında anlamlı fark izlenmedi(p=0,163). Acile başvuran hastalar arasında yıllara göre yaş(p=0,348) ve cinsiyet(p=0,120) açısından fark bulunmadı. Üroloji polikliniğine ve acil servise yapılan tekrarlayan başvurularda 2019 yılı ile pandemi dönemi arasında anlamlı fark izlenmedi(p=0,604 ve p=0,234). Üroloji polikliniğine başvurular 2019 ve 2020’de benzer oranda gözlendi(p=0,809). Hastaların tanılarına göre dağılımları 2019 yılı ve 2020 yılı için farklılık göstermedi(p=0,386). Hastaların yıllara göre tedavi ihtiyaçlarındaki dağılımlar incelendiğinde, 2019 yılıyla 2020 yılı arasında istatistiksel olarak anlamlı farklılık bulunmadı (p=1,000).



Sonuç

Acil servise ürolojik şikayetlerle başvuran hastaların büyük çoğunluğunu idrar yolu enfeksiyonu geçiren hastalar ve taş hastaları oluşturmaktadır. COVID-19 pandemisi gibi riskli ve yoğun kısıtlamaların olduğu bir dönemde bile hastaların ürolojik hastalıkları sebebiyle acil servise başvurma oranları değişmemiştir.

References

  • Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020.
  • Westhofen T, Magistro G, Lennartz S, Casuscelli J, Stief C, Rodler S. Confronting hidden COVID-19 burden: a telemedical solution for elective urological outpatient clinics. Infection. 2020;48(6):935-9.
  • Ojetti V, Covino M, Brigida M, Petruzziello C, Saviano A, Migneco A, et al. Non-COVID Diseases during the Pandemic: Where Have All Other Emergencies Gone? Medicina. 2020;56(10):512.
  • Oseran AS, Nash D, Kim C, Moisuk S, Lai P-Y, Pyhtila J, et al. Changes in hospital admissions for urgent conditions during COVID-19 pandemic. Am J Manag Care. 2020;26(8):327-8.
  • Wongtanasarasin W, Srisawang T, Yothiya W, Phinyo P. Impact of national lockdown towards emergency department visits and admission rates during the COVID-19 pandemic in Thailand: A hospital-based study. Emerg Med Australas. 2020.
  • Barten DG, Latten GH, Van Osch FH. Reduced emergency department utilization during the early phase of the COVID-19 pandemic: viral fear or lockdown effect? Disaster Med Public Health Prep. 2020:1-4.
  • Bugger H, Gollmer J, Pregartner G, Wünsch G, Berghold A, Zirlik A, et al. Complications and mortality of cardiovascular emergency admissions during COVID-19 associated restrictive measures. PLoS One. 2020;15(9):e0239801.
  • Madanelo M, Ferreira C, Nunes-Carneiro D, Pinto A, Rocha MA, Correia J, et al. The impact of the coronavirus disease 2019 pandemic on the utilisation of emergency urological services. BJU international. 2020;126(2):256-8.
  • Gallioli A, Albo G, Lievore E, Boeri L, Longo F, Spinelli MG, et al. How the COVID-19 Wave Changed Emergency Urology: Results From an Academic Tertiary Referral Hospital in the Epicentre of the Italian Red Zone. Urology. 2020.
  • Kumaira Fonseca M, Trindade EN, Costa Filho OP, Nácul MP, Seabra AP. Impact of COVID-19 Outbreak on the Emergency Presentation of Acute Appendicitis. The American Surgeon. 2020:0003134820972098.
  • Antonucci M, Recupero S, Marzio V, De Dominicis M, Pinto F, Foschi N, et al. El impacto de la COVID-19 en las admisiones al servicio de urgencias, hospitalizaciones y manejo clínico de la urolitiasis en el centro de Italia: análisis multicéntrico. Actas Urol Esp. 2020;44(9):611-6.
  • Pessoa-Amorim G, Camm CF, Gajendragadkar P, De Maria GL, Arsac C, Laroche C, et al. Admission of patients with STEMI since the outbreak of the COVID-19 pandemic. A survey by the European Society of Cardiology. European Heart Journal-Quality of Care and Clinical Outcomes. 2020.
  • Bozkurt O, Sen V, Irer B, Sagnak L, Onal B, Tanidir Y, et al. Nation-wide analysis of the impact of Covid-19 pandemic on daily urology practice in Turkey. Int J Clin Pract. 2020:e13735.
  • Simonato A, Giannarini G, Abrate A, Bartoletti R, Crestani A, De Nunzio C, et al. Pathways for urology patients during the COVID-19 pandemic. Minerva urologica e nefrologica= The Italian journal of urology and nephrology. 2020.
  • Ribal M, Cornford P, Briganti A, Knoll T, Gravas S, Babjuk M. EAU Guidelines Office Rapid Reaction Group: an organisation-wide collaborative effort to adapt the EAU guidelines recommendations to the COVID-19 era. Eur Urol. 2020;302(20):30324-9.
  • Socarrás MER, Esperto F, Bapstistussi MD, Barufaldi F, Vital MS, Papalia R, et al. Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era. International braz j urol. 2020;46:39-49.
  • Judson TJ, Odisho AY, Neinstein AB, Chao J, Williams A, Miller C, et al. Rapid design and implementation of an integrated patient self-triage and self-scheduling tool for COVID-19. J Am Med Inform Assoc. 2020;27(6):860-6.
  • Grasso AA, Massa G, Castelnuovo M. The Impact of COVID-19 Pandemic on Urological Emergencies: A Multicenter Experience on over 3,000 Patients. Urol Int. 2020:1-4.
  • Oikonomou E, Aznaouridis K, Barbetseas J, Charalambous G, Gastouniotis I, Fotopoulos V, et al. Hospital attendance and admission trends for cardiac diseases during the COVID-19 outbreak and lockdown in Greece. Public Health. 2020;187:115-9.
  • Bozovich GE, Alves De Lima A, Fosco M, Burgos LM, Martínez R, Dupuy De Lôme R, et al. Daño colateral de la pandemia por COVID-19 en centros privados de salud de Argentina. Medicina (B Aires). 2020;80.
There are 20 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Original Article
Authors

Erman Ceyhan This is me

Keziban Uçar Karabulut This is me

Publication Date September 20, 2021
Submission Date January 5, 2021
Published in Issue Year 2021

Cite

Vancouver Ceyhan E, Uçar Karabulut K. Covid-19 Pandemi Dönemindeki Acil Servis Başvurularında Ürolojik Hastalıkların Sıklığı ve Aciliyet Durumuna Göre Dağılımı. Genel Tıp Derg. 2021;31(3):276-80.