Hospitalización en paciente con cólico renal: Caracterización clínico-epidemiológica en el Hospital Clínico Herminda Martín, período marzo 2014 - marzo 2019 / Hospitalization in a patient with renal colic: Clinical-epidemiological characterization at the Herminda Martín Clinical Hospital, period March 2014 - March 2019

INTRODUCCIÓN: El cólico renal es una condición médica común en los servicios de urgencia. Representa la manifestación clínica más frecuente de urolitiasis, cuya patogenia es multifactorial, con tasas de prevalencia varía de 1% a 20% y una recurrencia a 10 años del 42% al 50%. OBJETIVO: Establecer el perfil clínico-epidemiológico, como también el diagnóstico y manejo de los pacientes hospitalizados por cólico renal en el Hospital Clínico Herminda Martín (HCHCM). MATERIAL Y MÉTODO: Estudio descriptivo retrospectivo en pacientes hospitalizados con diagnóstico de cólico renal en el HCHM de Chillán en el período marzo 2014-marzo 2019. Se estudiaron las variables: sexo, edad, presentación clínica de ingreso, factores de riesgo asociados, motivo de hospitalización, resultados imagenológicos y manejo clínico. Resultados. El 52,45% correspondió a pacientes de sexo masculino, encontrándose la mayor cantidad de pacientes en el intervalo de 40-49 años. La obesidad, antecedente de urolitiasis e hipertensión arterial fueron las patologías asociadas más frecuentes. En la mayoría de los pacientes, el motivo de la hospitalización fue la refractariedad al tratamiento analgésico, alcanzando un 86,76%. El 56,37% de los pacientes recibió manejo médico expulsivo y a un 19,11% de los pacientes se le realizó una intervención quirúrgica durante la hospitalización. CONCLUSIÓN: El perfil de éstos pacientes no sólo permite establecer medidas que podrían evitar un evento litiásico, sino que además se demuestra la necesidad de realizar un manejo óptimo que puede evitar reconsultas, sobrecarga de los servicios de urgencia, aumento de días cama y complicaciones.

INTRODUCTION: Renal colic is a common condition in the emergency department. It represents the most frequent clinical manifestation of urolithiasis, whose prevalence rate varies between 1% to 20%. Its pathogenesis is multifactorial, with a recurrence of 10 years from 42-50%. OBJECTIVE: Establish the clinical-epidemiological profile, as well as the diagnosis and management of patients hospitalized for renal colic at the Herminda Martín Clinical Hospital(HCHM). MATERIALS AND METHODS: A retrospective descriptive study of hospitalized patients diagnosed with renal colic at the HCHM, March 2014-March 2019, the variables were studied: sex, age, the clinical presentation of admission, associated risk factors, the reason for hospitalization, imaging results, and management. Results: 52.45% were male patients, with the highest number of patients in the range of 40-49 years. Obesity, a history of urolithiasis and hypertension, occurred more frequently within the associated pathologies. In most patients, refractable to analgesic treatment was the reason for hospitalization, reaching 86.76%. 56.37% of patients received expulsion medical management, and 19.11% of patientshad surgeryduring hospitalization. CONCLUSION: The profile of these patients not only allows them to establish measures that could prevent a lithiasis event but also shows the need for effective management of patients who can avoid reconsults, an overload of emergency services, increasedbed days and complications

Enfrentamiento del cólico renal en urgencia / Confrontation of renal colic in urgency

Ureteral colic as a nosologic entity, is part of a select group of pathologies that present themselves in an intense and acute form, in which the patient suffers excruciating pain and demands quick diagnosis and treatment. It’s also a common disease in our emergency service, like in other countries. The aim of the present study is to standardize and deepen the management and treatment of ureteral colic, from the perspective of the emergency medicine...

Comparison of efficacy of injection diclofenac sodium alone and with combination of phoroglucinol in the treatment of acute ureteric colic

To compare the efficacy of diclofenac sodium alone and with combination of phioroglucinol in the 4reatment of ureteric colic. This Quasi-experimental study was carried out in the Surgical Department, Combined Military Hospital, Kharian during the period from June 2006 to December 2006. A total of 60 cases of acute ureteric colic entered the study. Pain scores were measured both on 100 mm visual analogue scale and on categorical verbal scale as baseline and at 15, 30, 45, 60 and 120 minutes after administering the study drug, duration of analgesia was also noted. The efficacy of both the treatment groups was assessed by calculating the difference in mean pain scores, by noting the time when complete pain relief was achieved, by the duration of analgesia and by comparing the response of he drug. Mean pain score in patients treated with combination was significantly less than patients treated with diclofenac sodium alone [p<0.05]. Combination of diclofenac and phloroglucinol was better than diclofenac alone in achieving rapid and complete pain relief

Non-enhanced spiral CT versus excretory urography in acute renal colic

To evaluate the usefulness of non-enhanced spiral CT [NECT] and compare it with that of excretory urography [EU] in patients with acute flank pain. Ninety five patients presenting with acute flank pain underwent both NECT and EU. Both techniques were used to determine the presence, size, and location of urinary stone, and the presence or absence of secondary signs was also evaluated. The existence of ureteral stone was confirmed by its removal or spontaneous passage during follow-up. The absence of a stone was determined on the basis of the clinical and radiological evidence. Seventy eight of the 95 patients had one or more ureteral stones and 17 had 110 stones. CT depicted 79 of 83 calculi in the 78 patients with a stone and no calculus in all seventeen without a stone. The sensitivity and specificity of NECT were 95% and 100%, respectively. EU disclosed 73 calculi in the 78 patients with a stone and no calculus in fifteen of the seventeen without a stone, with sensitivity and specificity 89% and 88% respectively. For the evaluation of patients with acute flank pain, NECT is an excellent modality with high sensitivity and specificity. In near future it may replace EU