Department of Urology, Ahi Evran University Training and Research Hospital, Kirsehir-Türkiye.
Ulus Travma Acil Cerrahi Derg. 2023 Jul;29(7):780-785. doi: 10.14744/tjtes.2023.36067.
The COVID-19 pandemic has changed the number of patients seeking medical help from the emergency service (ES) with non-COVID complaints, consequencing in postponed presentations of different surgical and medical situations. Acute urinary stone disease is one of these situations and needs to be investigated in terms of the effect of COVID-19 on its presentation to the ES.
In this observational, retrospective, and single-center study, we scanned each abdominopelvic computed tomography requested in ES for possible acute urolithiasis during 1 year before and after the outbreak of COVID-19. We searched to state the number of abdominopelvic computed tomographies applied and the number of ratifying urinary stone positivity. We enrolled patients' gender, age, stone location, and stone size. We also recorded C-reactive protein, leukocyte count, and creatinine and noted how long the patients suffering from pain, the duration until the intervention, and the management option selected for each case.
Total number of abdominopelvic computed tomographies performed was 1089. Of these, 517 were pre-pandemic and 572 were peri-pandemic. The number of pre and peri-pandemic stone-positive scans were, respectively, 363 (70.2%) and 379 (66.2%) (P=0.643). The females' percentage in the COVID-19 period (37.2%) was significantly lower than in the pre-pandemic period (54.3%) (P=0.013). The median size of ureter stones of the pre and peri-pandemic groups were, respectively, 4.8 mm and 3.9 mm depicting no significant difference (P=0.197). No significant difference was sighted between the pre and peri-pandemic groups concerning stone locations, blood parameters, painful duration, treatment options, and time to intervention.
The COVID-19 pandemic resulted in neither sicker nor fewer patients suffering from acute ureteric colic in the ES.
COVID-19 大流行改变了因非 COVID 相关疾病前往急诊服务（ES）寻求医疗帮助的患者数量，导致不同手术和医疗情况的就诊时间延迟。急性尿路结石病就是其中之一，需要研究 COVID-19 对其在 ES 就诊的影响。
在这项观察性、回顾性、单中心研究中，我们在 COVID-19 爆发前后的 1 年内，对 ES 中每例疑似急性尿石症的患者进行了腹部盆腔 CT 扫描。我们记录了腹部盆腔 CT 扫描的数量和阳性尿路结石的数量。我们纳入了患者的性别、年龄、结石位置和结石大小。我们还记录了 C-反应蛋白、白细胞计数和肌酐，并记录了每位患者疼痛的持续时间、干预的时间以及为每个病例选择的治疗方案。
总共进行了 1089 例腹部盆腔 CT 扫描。其中，517 例在大流行前，572 例在大流行期间。前和大流行期间的阳性结石扫描数量分别为 363 例（70.2%）和 379 例（66.2%）（P=0.643）。大流行期间女性的比例（37.2%）明显低于大流行前（54.3%）（P=0.013）。前和大流行期间的输尿管结石的中位大小分别为 4.8 毫米和 3.9 毫米，无显著差异（P=0.197）。在结石位置、血液参数、疼痛持续时间、治疗方案和干预时间方面，前和大流行期间组之间没有明显差异。
COVID-19 大流行并没有导致 ES 中出现更多或更严重的急性输尿管绞痛患者。
