Impacts of the COVID-19 outbreak on visits and treatments for patients with ureteral stones in a general hospital emergency department.
Urologia
; 88(3): 232-236, 2021 Aug.
Article
in English
| MEDLINE | ID: covidwho-999439
ABSTRACT
BACKGROUND:
The COVID-19 is a challenge for both patients and physicians in emergency department (ED). This study was aimed to report the impacts of the COVID-19 outbreak on visits and treatments for patients with ureteral stones in a general hospital ED.METHODS:
The patients with ureteral stones were collected from 24 January to 24 March 2020 during the COVID-19 outbreak in Beijing. Two periods were divided for study 24 January to 24 February (Period 1) and 25 February to 24 March (Period 2). Data on patients' characteristics, attendance, visual analog scale (VAS) scores, stone features, and final treatment choices were retrieved from the computer and compared with the data in the same periods in 2019.RESULTS:
The study included 376 patients with ureteral stones during the COVID-19 outbreak periods in 2020 and 343 patients during the same periods in 2019. Compared with the same periods in 2019, the number of patients with ureteral stones was less in Period 1 (137 vs 163) but had a rebound phenomenon in Period 2 (239 vs 180). The visit frequency was significantly reduced (2.6 ± 0.4 vs 3.6 ± 0.8, p < 0.01) and the VAS scores and the onset time increased (7.7 ± 1.3 vs 5.5 ± 1.6, p < 0.01; 7.4 ± 1.8 vs 8.2 ± 1.5, p < 0.01, respectively) in Period 1. More patients chose oral analgesics medication to release from renal colic in the COVID-19 outbreak period instead of ESWL and intravenous analgesics medication (Period 1, 54.0% vs 20.2%, p < 0.01; Period 2, 20.9% vs 13.3%, p = 0.044; respectively). However, the percentage of patients underwent endoscopy surgery in outbreak period showed no significant difference compared with that in 2019.CONCLUSION:
These results showed that the COVID-19 outbreak can directly affect the visits and final treatment choices for patients with ureteral stones.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Hospitals, Urban
/
Patient Acceptance of Health Care
/
Ureteral Calculi
/
Emergency Service, Hospital
/
SARS-CoV-2
/
COVID-19
/
Hospitals, General
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Topics:
Long Covid
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
/
Young adult
Country/Region as subject:
Asia
Language:
English
Journal:
Urologia
Year:
2021
Document Type:
Article
Affiliation country:
0391560320985659
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