Usefulness of Ultrasonography as a Disposition Tool for Patients with Acute Flank Pain and Microscopic Hematuria in an Emergency Department
Journal of the Korean Society of Emergency Medicine
;
: 429-433, 2007.
Article
in Korean
| WPRIM
| ID: wpr-188884
ABSTRACT
PURPOSE:
To evaluate the usefulness of ultrasonography (US) as a disposition tool in emergency care centers for categorizing urolithiasis patients who present with acute flank pain and microscopic hematuria.METHODS:
We enrolled patients who presented with acute flank pain and microscopic hematuria from January to August 2006 in the Emergency Care Center of Chungnam National University Hospital. We categorized patients into four groups according to their hydronephrosis and urinary complications, respectively, and retrospectively reviewed their charts relative to patients' disposition.RESULTS:
One hundred eighty-two patients met the criteria and were enrolled in the study. Patients who were classified as group D (without complication or hydronephrosis) had 100% negative predictive value for invasive procedures (ureteroscopy or double J catheterization), hospital admission, extracoporeal shock wave lithotripsy (ESWL), and prescription of antibiotics.CONCLUSION:
It is reasonable for emergency department residents to route patients without complication or hydronephrosis to the outpatient department after pain control and simple therapeutic education.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Outpatients
/
Shock
/
Lithotripsy
/
Retrospective Studies
/
Ultrasonography
/
Flank Pain
/
Education
/
Emergencies
/
Emergency Medical Services
/
Emergency Service, Hospital
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2007
Type:
Article
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