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

Yıl 2021, Cilt: 31 Sayı: 3, 276 - 280, 20.09.2021

Erman Ceyhan Keziban Uçar Karabulut

https://doi.org/10.54005/geneltip.996828

Öz

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.

Anahtar Kelimeler

COVID-19, patient admission, pandemics, emergency service, urinary tract infection

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

Öz

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.

Anahtar Kelimeler

COVID-19, hasta başvurusu, pandemi, acil servis, idrar yolu enfeksiyonu

Kaynakça

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