Evaluation Of Urological Emergency Cases Admitted To Emergency Department

Abstract

Aim: Especially in recent years, with the increase in the number of patients admitted to the emergency services the number of urological emergencies is increasing. Some of these require immediate attention. There are not enough studies on urological emergencies in our country. In this study, we aimed to investigate the demographic data of patients over the age of 18 who presented to the emergency department with non-traumatic urological emergency complaints. Materials and Methods: This study was designed based on a 6-month prospective, cross-sectional study. After obtaining the approval of the ethics committee, patients over the age of 18 with urological emergency complaints were examined between 06.11.2019 and 06.05.2020. Results: The ratio of urological emergencies to all patients was found to be 1.5%. 56.76% (n: 231) of the patients were male and 43.24% (n = 176) were female. In the study was found 44.7% of the patients to be urinary tract infection, 31.45% renal colic, 8.8% hematuria, 6.88% acute urinary retention. In our study, urology consultation was requested for 19% of urological emergency patients. Emergency intervention was applied to 21.13% of all urological emergency cases. Emergency operation was required for 1.47% of the patients. 10.81% of the patients required hospitalization. Conclusion: As a result, urological emergencies are common. Among these cases, there may be diseases that require urgent intervention or surgery. It is very important for the patients the emergency physicians who evaluate the patient first to make a careful and meticulous evaluation and to make a urology consultation if necessary.

Keywords

• Renal colic
• Urinary tract infection
• Urological emergency
• Renal kolik
• İdrar yolu enfeksiyonu
• Ürolojik acil

Acil Servise Başvuran Ürolojik Acil Olgularin Değerlendirilmesi

Öz

Amaç: Özellikle son yıllarda acil servislere başvuran hasta sayısının da artmasıyla ürolojik acil olguların da sayısı gün geçtikçe artmaktadır. Bunlardan bazıları acil müdahale gerektirir. Ülkemizde yeteri kadar ürolojik aciller ile ilgili çalışma yoktur. Bu çalışmada acil servise travma dışı ürolojik acil şikâyetlerle başvuran 18 yaş üstü hastaların demografik verilerini incelemeyi planladık. Gereç ve Yöntem: Çalışma 6 aylık prospektif, kesitsel araştırmaya dayanarak tasarlandı. Etik kurul onayı alındıktan sonra bir üniversite hastanesi acil servisine 06. 11.2019 ile 05. 06. 2020 tarihleri arasında başvuran ürolojik acil şikayetleri olan 18 yaş üzeri hastalar incelendi. Bulgular: Ürolojik acil hastaların tüm hastalara oranı %1,5 olarak saptandı. Hastaların %56,76 (n: 231)’sı erkek, %43,24(n=176)’ü kadın olarak saptandı. Çalışmada hastaların %44,7’si idrar yolu enfeksiyonu, %31,45’si renal kolik, %8,8’i hematüri, %6,88’i akut üriner retansiyon, olarak saptanmıştır. Çalışmamızda ürolojik acil hastaların %19’una üroloji konsültasyonu istenmiştir. Tüm ürolojik acil olguların %21,13’ine acil girişim uygulanmıştır. Hastaların %1,47’sine acil operasyon gerekmiştir. Hastaların %10,81’ine servis yatışı gerekmiştir. Sonuç: Sonuç olarak, ürolojik acil olgulara sık rastlanmaktadır. Bu olgular arasında acil girişim veya operasyon gerektiren hastalıklar olabilir. Hastayı ilk değerlendiren acil servis hekimlerinin dikkatli ve titiz bir değerlendirme yapması, gerekirse üroloji konsültasyonu istemesi oldukça önemlidir.

Anahtar Kelimeler

• Renal kolik
• İdrar yolu enfeksiyonu
• Ürolojik acil

Kaynakça

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