Akinpelu Tosin S, Laher Abdullah E, Chen Andrew, Adam Ahmed
Department of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
School of Physics, Faculty of Science, University of the Witwatersrand, Johannesburg, South Africa.
Curr Urol. 2021 Mar;15(1):45-51. doi: 10.1097/CU9.0000000000000005. Epub 2021 Mar 29.
The objective of this study was to conduct a pilot study to determine the prevalence and patterns of emergency urological presentations and to evaluate their relationship with the lunar cycle and seasonal variation.
Medical records of subjects that presented with urological pathology to the Emergency Department during the 2017 calendar year were retrospectively reviewed. The data extracted included demographic details, date and day of presentation, presenting complaints, investigations, radiological findings, and final diagnosis. Associations between emergent presentations and the lunar phase and seasonal variation were determined.
A total of 199 subjects were enrolled. The median participant age was 49 (interquartile range 31-64) years with the majority (n = 136, 68.3%) being male. Cystitis (n = 55, 27.6%), prostate cancer (n = 30, 15.1%), benign prostatic hypertrophy (n = 29, 14.6%), and urolithiasis (n = 29, 14.6%) were the most common clinical diagnosis. There were 96 (48.2%) patients who presented during the waxing moon phase, whereas 85 (42.7%) presented during the waning moon phase, 11 (5.6%) presented on the day of full moon, and 7 (3.5%) patients presented on the day of the new moon. Most patients presented during the summer months (n = 61, 30.7%). There was no significant association between the lunar cycle and emergent urological presentations ( = 0.99).
In this pilot study, there was no significant association between the lunar cycle and emergent urological presentations. However, during the summer months more urology-related emergency presentations to the Emergency Department were observed.
本研究的目的是开展一项初步研究，以确定泌尿外科急诊就诊的患病率和模式，并评估其与月周期和季节变化的关系。
回顾性分析2017年期间在急诊科出现泌尿外科病理情况的受试者的病历。提取的数据包括人口统计学细节、就诊日期和星期、就诊主诉、检查、影像学检查结果和最终诊断。确定急诊就诊与月相和季节变化之间的关联。
共纳入199名受试者。参与者的年龄中位数为49岁（四分位间距31 - 64岁），大多数（n = 136，68.3%）为男性。膀胱炎（n = 55，27.6%）、前列腺癌（n = 30，15.1%）、良性前列腺增生（n = 29，14.6%）和尿路结石（n = 29，14.6%）是最常见的临床诊断。96名（48.2%）患者在月盈期就诊，而85名（42.7%）在月亏期就诊，11名（5.6%）在满月当天就诊，7名（3.5%）患者在新月当天就诊。大多数患者在夏季就诊（n = 61，30.7%）。月周期与泌尿外科急诊就诊之间无显著关联（ = 0.99）。
在这项初步研究中，月周期与泌尿外科急诊就诊之间无显著关联。然而，在夏季观察到更多与泌尿外科相关的急诊就诊情况。
