Variables asociadas a la hospitalización en pacientes con cuadro clínico de urolitiasis que asiste al servicio de urgencias en un centro de alta complejidad

Abstract

Renal colic is one of the most frequent pathologies in the emergency department,
with an incidence of 16 per 10,000 people; with an overall prevalence of 2 to 5%.
The characterization of the population improves protocols of care and directs the
efforts in the profiles of patients with a higher risk of complication. This research
supports the efficacy in the care and management of this pathology in the different
types of patients studied. Methodology: observational, descriptive study, with a
cross-sectional analytical component; Including patients over 18 years of age, with
a clinical picture of urolithiasis, who were treated in the emergency department of
the FOSCAL clinic, in Bucaramanga, between the period between January 2019 and
December 2021. Objective: Identify the clinical and sociodemographic variables of
patients diagnosed with Urolithiasis associated with hospital and surgical
management. Results: The total number of patients included in the database was
934, 244 patients were excluded of the analysis. The median age was 42 years
between 18 to 84 years, 73% correspond to men. 6.39% with a history of surgery for
lithiasis and <5% of patients with a history of CKD and in the same percentage
metabolic disease. 2.03% did not present pain, while 68.7% of the patients did not
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present vomiting. The diagnosis of urinary infection was made in 9% of the patients.
69% were stones <5mm, most (>70%) were located in the distal ureter and 33% of
the patients presented grade 2 hydronephrosis. Hospitalized patients in 18.4% and
14.4% requiring surgical treatment. The variable in which an association to surgical
and hospital management was found was the diagnosis of UTI.

Date of Award	Dec 2022
Original language	Spanish (Colombia)
Awarding Institution	Universidad Autónoma de Bucaramanga Facultad de Ciencias de la Salud Especialización Médica y Quirúrgica en Urología
Supervisor	Víctor Hugo Figueroa Arenas (Supervisor) & Juan Carlos Alberto Uribe Caputi (Codirector)