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Comparison of Management and Outcomes of Symptomatic Urolithiasis During the COVID-19 Pandemic to a Comparative Cohort.
Nourian, Alex; Uppaluri, Curran; Chen, Michelle; Ghiraldi, Eric M; Friedlander, Justin I.
  • Nourian A; Einstein Healthcare Network, Department of Urology, Philadelphia, PA.
  • Uppaluri C; Einstein Healthcare Network, Department of Urology, Philadelphia, PA.
  • Chen M; Einstein Healthcare Network, Department of Urology, Philadelphia, PA.
  • Ghiraldi EM; Einstein Healthcare Network, Department of Urology, Philadelphia, PA; Fox Chase Cancer Center, Division of Urologic Oncology and Urology, Philadelphia, PA.
  • Friedlander JI; Einstein Healthcare Network, Department of Urology, Philadelphia, PA; Fox Chase Cancer Center, Division of Urologic Oncology and Urology, Philadelphia, PA,. Electronic address: friedlaj@einstein.edu.
Urology ; 165: 178-183, 2022 07.
Article in English | MEDLINE | ID: covidwho-1648665
ABSTRACT

OBJECTIVE:

To analyze the clinical presentation and outcomes for patients who presented with symptomatic urolithiasis during the initial months of the COVID-19 pandemic.

METHODS:

We retrospectively reviewed Emergency Department (ED) presentations from a Philadelphia healthcare system for symptomatic urolithiasis between March and June 2020 and compared these with presentations for the same time period from the year prior. Patient demographics, stone characteristics, management, and clinical outcomes were compared between the 2 years.

RESULTS:

One hundred and thirty-nine patients presented during 2020 compared to 269 in 2019. There were fewer patients who presented during the initial COVID-19 pandemic surge who had obesity (37.41% vs 49.44%, P = .024), hyperlipidemia (18.71% vs 31.60, P = .006), and asthma (5.76% vs 16.73%, P = .002). Although overall stone characteristics did not differ between the 2 groups, a larger proportion of patients in 2020 presented with an obstructing stone (81.16% vs 64.1%, P = .001). Patients who presented during the COVID-19 pandemic did not have higher rates of infection, acute kidney injury, or complications. Rates of surgical modalities, emergent procedures, and discharges from the ED were similar between the 2 years.

CONCLUSION:

The COVID-19 pandemic initial surge resulted in fewer ED presentations for symptomatic urolithiasis; however, patients who did present were more likely to have obstructing stones, perhaps due to delaying presentation to avoid COVID-19 exposure in the ED. Despite higher rates of obstruction, clinical outcomes and morbidity were similar.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Urolithiasis / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: Urology Year: 2022 Document Type: Article Affiliation country: J.urology.2022.01.019

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Urolithiasis / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: Urology Year: 2022 Document Type: Article Affiliation country: J.urology.2022.01.019