Buscar en
Actas Urológicas Españolas (English Edition)
Toda la web
Inicio Actas Urológicas Españolas (English Edition) The impact of COVID-19 outbreak on urolithiasis emergency department admissions,...
Journal Information
Vol. 44. Issue 9.
Pages 611-616 (November 2020)
Share
Share
Download PDF
More article options
ePub
Visits
24
Vol. 44. Issue 9.
Pages 611-616 (November 2020)
Original article
The impact of COVID-19 outbreak on urolithiasis emergency department admissions, hospitalizations and clinical management in central Italy: a multicentric analysis
El impacto de la COVID-19 en las admisiones al servicio de urgencias, hospitalizaciones y manejo clínico de la urolitiasis en el centro de Italia: análisis multicéntrico
Visits
...
Michele Antonuccia,
Corresponding author
mic.antonucci@yahoo.it

Corresponding author.
, Salvatore Marco Recuperob, Vittorio Marzioc, Mauro De Dominicisa, Francesco Pintod, Nazario Foschid, Luca Di Gianfrancescod, Pierfrancesco Bassid, Mauro Ragonesed
a Urology Department, Cristo Re Hospital, Rome, Italy
b Urology Department, Fatebenefratelli Hospital San Giovanni Calibita, Rome, Italy
c Urology Resident, Sapienza University, Rome, Italy
d Urology Department, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Tables (4)
Table 1. Characteristics of Patients admitted in ED with diagnosis of urolithiasis in March-April 2019 and 2020.
Table 2. Characteristics of Patients admitted from ED with diagnosis of urolithiasis in March-April 2019 and 2020, stratified by COVID-19 hubs.
Table 3. Treatment of hospitalized Patients admitted from ED with diagnosis of urolithiasis in March-April 2019 and 2020, stratified by COVID-19 hubs.
Table 4. Number of ED admissions for urolithiasis compared to total ED admissions.
Show moreShow less
Abstract
Introduction and objectives

We aimed to evaluate how the corona virus disease of 2019 (COVID-19) outbreak influenced emergency department (ED) admissions for urolithiasis, hospitalizations and clinical management of the hospitalized Patients.

Patients and methods

We conducted a multicentric retrospective analysis of ED admissions in three high volume urology departments (one directly involved in COVID-19 patients management and two not involved) in Rome - Italy between March and April 2020 and in the same period of 2019. Statistical analysis was conducted on the number of admissions for urolithiasis, rate of complications, hospitalization and the type of treatment received.

Results

304 patients were included in the analysis. A significant reduction in the global number of patients admitted to ED for urolithiasis between 2019 and 2020 (48.8%) was noted. Moreover, regarding the choice of treatment of hospitalized patients, a statistically significant increase of stone removal procedures versus urinary drainage was reported in 2020 (P = .015).

Conclusions

During the COVID-19 pandemic in Rome there has been a significant reduction of emergency admissions for urolithiasis. Patients admitted to ED had more complications, more frequently need hospitalization and regarding clinical management early stone removal was preferred over urinary drainage only. All the urologists should be aware that in the next months they could face an increased number of admissions for urolithiasis and manage more complicated cases.

Keywords:
Urolithiasis
COVID-19
Pandemic outbreak
Stone surgery
Emergency department admissions
Abbreviations:
COVID-19
ED
Resumen
Introducción y objetivos

Nuestro objetivo fue evaluar el impacto de la enfermedad del coronavirus de 2019 (COVID-19) en los ingresos en los servicios de urgencias (SU), las hospitalizaciones y el manejo clínico de los pacientes con urolitiasis.

Pacientes y métodos

Realizamos un análisis retrospectivo multicéntrico de las admisiones en los servicios de urgencias de tres departamentos de urología de gran volumen (uno directamente implicado en el tratamiento de los pacientes de COVID-19 y dos no implicados) en Roma (Italia) entre marzo y abril de 2020 y en el mismo período de 2019. Se realizó un análisis estadístico del número de admisiones por urolitiasis, la tasa de complicaciones, hospitalización y el tipo de tratamiento recibido.

Resultados

304 pacientes fueron incluidos en el análisis. Se observó una reducción significativa en el número global de pacientes ingresados en urgencias por urolitiasis entre 2019 y 2020 (48,8%). Además, con respecto a la elección del tratamiento de los pacientes hospitalizados, se informó un aumento estadísticamente significativo de los procedimientos de extracción de cálculos en comparación con el drenaje urinario en 2020 (P = ,015).

Conclusiones

Durante la pandemia de COVID-19 en Roma ha habido una reducción significativa de los ingresos en urgencias por urolitiasis. Los pacientes ingresados en el SU tuvieron más complicaciones, necesitaron hospitalización con mas frecuencia y en cuanto al manejo clínico, se prefirió la extracción temprana de los cálculos en vez del drenaje urinario. Todos los urólogos deben ser conscientes de que en los próximos meses podrían enfrentarse a un mayor número de admisiones por urolitiasis y al manejo de casos más complicados.

Palabras clave:
Urolitiasis
COVID-19
Brote pandémico
Cirugía de cálculos
Admisiones en el departamento de urgencias

Article

These are the options to access the full texts of the publication Actas Urológicas Españolas (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Actas Urológicas Españolas (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos