Mondet Fabrice, Chartier-Kastler Emmanuel, Yonneau Laurent, Bohin Denis, Barrou Benoît, Richard François
Service d'Urologie et de Transplantation Rénale et Pancréatique, Groupe Hospitalier Pitié-Salpêtreière, 47-83, Boulevard de l'Hôpital, 75013 Paris.
Prog Urol. 2002 Jun;12(3):437-42.
To quantitatively evaluate the emergency activity of a teaching hospital urology department. To determine the epidemiology of urological medical and surgical emergencies.
Single-centre prospective study conducted in one of the 9 teaching hospital urology departments of the Paris region equipped with an emergency room. The on-call team consisted of an intern and a hospital student on the spot, a Senior Registrar on call. Evaluation was based on daily computer records of all consultations performed by the intern outside of the urology department, and all emergency surgical operations performed during the out-of-hours period (8:00 p.m. to 8:00 a.m.).
A total of 1,715 consultations were performed, 15.6% of which required admission to hospital. Eleven per cent of consultations in the emergency department were transferred from another centre. Emergency surgery was performed in 5% of cases. 37 multi-organ harvests and 54 renal transplantations were also performed during this same period. Mean age: 53.18 years (range: 15-100). 12% of patients were over the age of 80 years. Sex-ratio: 78% of males, 22% of females. The most frequent presenting complaint was low back pain (25%). The diseases most frequently encountered were infectious (19.2%). 30% of emergency surgical operations were performed for drainage of obstructive pyelonephritis. Bladder tumours were the cancers most frequently responsible for emergency consultations (35%) and traumatology represented 8.7% of emergency consultations.
Urological emergencies in a teaching hospital constitute a distinct clinical activity, which requires specific material and human resources. This exhaustive study could be used as a basis for review of the organization of the management of urological emergencies.
定量评估一家教学医院泌尿外科的急诊工作。确定泌尿外科医疗和外科急诊的流行病学特征。
在巴黎地区9家设有急诊室的教学医院泌尿外科之一进行单中心前瞻性研究。值班团队由一名现场实习医生和一名医院学生以及一名随叫随到的高级住院医师组成。评估基于实习医生在泌尿外科以外进行的所有会诊的每日计算机记录，以及非工作时间（晚上8点至早上8点）进行的所有急诊外科手术记录。
共进行了1715次会诊，其中15.6%需要住院治疗。急诊科11%的会诊是从另一个中心转诊过来的。5%的病例进行了急诊手术。在此期间还进行了37例多器官获取和54例肾移植手术。平均年龄：53.18岁（范围：15 - 100岁）。12%的患者年龄超过80岁。性别比：男性占78%，女性占22%。最常见的主诉是腰痛（25%）。最常遇到的疾病是感染性疾病（19.2%）。30%的急诊手术是为梗阻性肾盂肾炎引流而进行的。膀胱肿瘤是导致急诊会诊的最常见癌症（35%），创伤学占急诊会诊的8.7%。
教学医院的泌尿外科急诊构成一项独特的临床活动，需要特定的物资和人力资源。这项详尽的研究可作为审查泌尿外科急诊管理组织的基础。
