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  1. Article ; Online: Trends in urological emergencies in the Era of COVID-19.

    Frumer, Michael / Aharony, Shachar M / Shoshany, Ohad / Kedar, Daniel / Baniel, Jack / Golan, Shay

    International braz j urol : official journal of the Brazilian Society of Urology

    2021  Volume 47, Issue 5, Page(s) 997–1005

    Abstract: Purpose: To evaluate trends in emergency room (ER) urological conditions during COVID-19 pandemic ... by a significant decrease in common urological presentations to the ER. This change occurred across the clinical ... urinary retention in ER's admissions of a tertiary hospital during the lockdown period (March 19 to May 4, 2020 ...

    Abstract Purpose: To evaluate trends in emergency room (ER) urological conditions during COVID-19 pandemic lockdown.
    Materials and methods: Retrospective analyses of renal colic, hematuria, and urinary retention in ER's admissions of a tertiary hospital during the lockdown period (March 19 to May 4, 2020) in Israel. Patient's demographics and clinical characteristics were compared to those in corresponding periods during 2017-2019, with estimated changes in ER arrival and waiting times, utilization of imaging tests, numbers of hospitalizations, and urgent procedure rates.
    Results: The number of ER visits for renal colic, hematuria, and urinary retention decreased by 37%, from an average of 451 (2017-2019) to 261 patients (2020). Clinical severity was similar between groups, with no major differences in patient's age, vital signs, or laboratory results. The proportion of ER visits during night hours increased significantly during lockdown (44.8% vs. 34.2%, p=0.002). There was a decrease in renal colic admission rate from 19.8% to 8.4% (p=0.001) without differences in urgent procedures rates, while the 30-day revisit rate decreased from 15.8% to 10.3% during lockdown (p=0.02).
    Conclusions: General lockdown was accompanied by a significant decrease in common urological presentations to the ER. This change occurred across the clinical severity spectrum of renal colic, hematuria, and urinary retention. In the short term, it appears that patients who sought treatment did not suffer from complications that could be attributed to late arrival or delay in treatment. The long-term implications of abstinence from seeking emergent care are not known and require further investigation.
    MeSH term(s) COVID-19 ; Communicable Disease Control ; Emergencies ; Emergency Service, Hospital ; Humans ; Pandemics ; Retrospective Studies ; SARS-CoV-2
    Language English
    Publishing date 2021-07-14
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2206649-4
    ISSN 1677-6119 ; 1677-5538
    ISSN (online) 1677-6119
    ISSN 1677-5538
    DOI 10.1590/S1677-5538.IBJU.2020.1092
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Assessment of trends and clinical presentation in the emergency department of patients with renal colic during the COVID-19 pandemic era.

    Carrion, D M / Mantica, G / Antón-Juanilla M, M / Pang, K H / Tappero, S / Rodriguez-Serrano, A / Parodi, S / Crespo-Atín, V / Cansino, R / Terrone, C / Nikles, S / Gomez Rivas, J / Esperto, F

    Actas urologicas espanolas

    2020  Volume 44, Issue 10, Page(s) 653–658

    Abstract: Introduction: We hypothesized that the recent COVID-19 pandemic may lead to a delay in renal colic ... Urology department admission requirement and type of therapy.: Conclusion: Data from our study showed ... Italy. However, we did not find any significant difference with the length of stay, Urology ...

    Title translation Evaluación de las tendencias y presentación clínica de pacientes con cólico nefrítico que acuden al servicio de urgencias durante la era pandémica del COVID-19.
    Abstract Introduction: We hypothesized that the recent COVID-19 pandemic may lead to a delay in renal colic patients presenting to the Emergency Department due to the fear of getting infected. This delay may lead to a more severe clinical condition at presentation with possible complications for the patients.
    Material and methods: Retrospective review of data collected from three institutions from Spain and Italy. Patients who presented to Emergency Department with unilateral or bilateral renal colic caused by imaging confirmed urolithiasis during the 45 days before and after each national lockdown were included. Data collected included patients' demographics, biochemical urine and blood tests, radiological tests, signs, symptoms and the therapeutic management. Analysis was performed between two groups, Group A: patients presenting prior to the national lockdown date; and Group B: patients presenting after the national lockdown date.
    Results: A total of 397 patients presented to Emergency Department with radiology confirmed urolithiasis and were included in the study. The number of patients presenting to Emergency Department with renal/ureteric colic was 285 (71.8%) patients in Group A and 112 (28.2%) patients in Group B (p<0.001). The number of patients reporting a delay in presentation was 135 (47.4%) in Group A and 63 (56.3%) in Group B (p=0.11). At presentation, there were no statistical differences between Group A and Group B regarding the serum creatinine level, C reactive protein, white blood cell count, fever, oliguria, flank pain and hydronephrosis. In addition, no significant differences were observed with the length of stay, Urology department admission requirement and type of therapy.
    Conclusion: Data from our study showed a significant reduction in presentations to Emergency Department for renal colic after the lockdown in Spain and Italy. However, we did not find any significant difference with the length of stay, Urology department admission requirement and type of therapy.
    MeSH term(s) Adult ; COVID-19/epidemiology ; Emergency Service, Hospital/statistics & numerical data ; Female ; Humans ; Italy/epidemiology ; Male ; Middle Aged ; Pandemics ; Renal Colic/epidemiology ; Renal Colic/etiology ; Retrospective Studies ; SARS-CoV-2 ; Spain/epidemiology ; Time Factors ; Ureteral Calculi/complications ; Ureteral Calculi/epidemiology
    Keywords covid19
    Language Spanish
    Publishing date 2020-09-07
    Publishing country Spain
    Document type Journal Article ; Multicenter Study
    ISSN 2173-5786
    ISSN (online) 2173-5786
    DOI 10.1016/j.acuro.2020.08.006
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  3. Article ; Online: Assessment of trends and clinical presentation in the emergency department of patients with renal colic during the COVID-19 pandemic era

    Carrion, D. M. / Mantica, G. / Antón-Juanilla M, M. / Pang, K. H. / Tappero, S. / Rodriguez-Serrano, A. / Parodi, S. / Crespo-Atín, V. / Cansino, R. / Terrone, C. / Nikles, S. / Gomez Rivas, J. / Esperto, F.

    Abstract: Introduction We hypothesized that the recent COVID-19 pandemic may lead to a delay in renal colic ... Urology department admission requirement and type of therapy. Conclusion Data from our study showed ... Italy. However, we did not find any significant difference with the length of stay, Urology ...

    Abstract Introduction We hypothesized that the recent COVID-19 pandemic may lead to a delay in renal colic patients presenting to the Emergency Department due to the fear of getting infected. This delay may lead to a more severe clinical condition at presentation with possible complications for the patients. Material and methods Retrospective review of data collected from three institutions from Spain and Italy. Patients who presented to Emergency Department with unilateral or bilateral renal colic caused by imaging confirmed urolithiasis during the 45 days before and after each national lockdown were included. Data collected included patients’ demographics, biochemical urine and blood tests, radiological tests, signs, symptoms and the therapeutic management. Analysis was performed between two groups, Group A: patients presenting prior to the national lockdown date; and Group B: patients presenting after the national lockdown date. Results A total of 397 patients presented to Emergency Department with radiology confirmed urolithiasis and were included in the study. The number of patients presenting to Emergency Department with renal/ureteric colic was 285 (71.8%) patients in Group A and 112 (28.2%) patients in Group B (p<0.001). The number of patients reporting a delay in presentation was 135 (47.4%) in Group A and 63 (56.3%) in Group B (p=0.11). At presentation, there were no statistical differences between Group A and Group B regarding the serum creatinine level, C reactive protein, white blood cell count, fever, oliguria, flank pain and hydronephrosis. In addition, no significant differences were observed with the length of stay, Urology department admission requirement and type of therapy. Conclusion Data from our study showed a significant reduction in presentations to Emergency Department for renal colic after the lockdown in Spain and Italy. However, we did not find any significant difference with the length of stay, Urology department admission requirement and type of therapy.
    Keywords covid19
    Publisher Elsevier; PMC
    Document type Article ; Online
    DOI 10.1016/j.acuroe.2020.11.004
    Database COVID19

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  4. Conference proceedings ; Online: Surgical activity in the COVID-19 era

    Rocco, B. / Sighinolfi, M. C. / Sandri, M. / Altieri, V. / Amenta, M. / Annino, F. / Antonelli, A. / Baio, R. / Bertolo, R. / Bocciardi, A. M. / Borghesi, M. / Bove, P. / Bozzini, G. / Cacciamani, G. / Calori, A. / Caffarelli, A. / Celia, A. / Cocci, A. / Corsaro, A. /
    Costa, G. / Ceruti, C. / Cindolo, L. / Crivellaro, S. / Dalpiaz, O. / D’Agostino, D. / Dall’Oglio, B. / Falabella, R. / Falsaperla, M. / Finocchiaro, M. / Gaboardi, F. / Galfano, A. / Gallo, F. / Greco, F. / Costantino, L. / Nucciotti, R. / Oderda, M. / Pagliarulo, V. / Parma, P. / Pastore, A. L. / Pini, G. / Porreca, A. / Pucci, L. / Schenone, M. / Schiavina, R. / Sciorio, C. / Spirito, L. / Tafuri, A. / Terrone, C. / Umari, P. / Varca, V. / Veneziano, D. / Verze, P. / Volpe, A. / Micali, S. / Berti, L. / Zaramella, S. / Minervini, A.

    trend of slowdown from a multicentre observational study

    2020  

    Abstract: COVID-19 outbreak represented an unprecedented event that led to a redefinition ... to COVID-19 patients, with reduction of resources for elective activities, including surgery. We aim ... to report the decrease of urological surgical activity during the first weeks from the beginning ...

    Abstract COVID-19 outbreak represented an unprecedented event that led to a redefinition of health care systems worldwide. The impact of the emergency required a deviation of the care toward the assistance to COVID-19 patients, with reduction of resources for elective activities, including surgery. We aim to report the decrease of urological surgical activity during the first weeks from the beginning of the pandemic, aiming to highlight the prioritization we applied to select patients for surgery.
    Keywords COVID-19 ; surgery ; elective surgical activities ; covid19
    Language English
    Publishing country it
    Document type Conference proceedings ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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