Characteristics and evolution of patients with urinary lithiasis in a tertiary hospital emergency

Taype-Huamaní W.; Ayala-García R.; Rodríguez-Gonzales R.; Amado-Tineo J. · Revista de la Facultad de Medicina Humana (2020) · DOI: 10.25176/rfmh.v20i4.2922

Resumen

Introduction: The symptoms and complications of urinary stones are a frequent cause of emergency care. Objetive: To determine characteristics and evolution of patients with urinary lithiasis treated in the emergency service of a tertiary social security hospital. Methods: Observational study performed at the Rebagliati Lima-Peru hospital, during the first quarter 2019. Sociodemographic variables, time and emergency indicators of the institutional statistical system were evaluated, performing descriptive statistics with IBM SPSS 25.0. Results: 583 attentions for urinary lithiasis (194 per month) were registered, corresponding to 14% of the genito-urinary pathology seen in the evaluated service. 55% male, average age 48 years (range 14 to 92). Mainly attended by surgical topic and priority 3, most frequent causes pain, infection and hematuria. Time of first attention 4.8 hours, 70% discharged. 10.5% were admitted to observation rooms with an average stay of 77 hours (3.2 days), with 51% being hospitalized, 31% discharged, 3% operated, and 2% died. Conclusion: Urinary lithiasis occurs in 1 out of 7 attentions of genitourinary pathology of the emergency service evaluated, predominantly in men, of middle age, 10% are admitted to the observation room, with a short stay and low mortality.

Instituciones: Universidad Nacional Mayor de San Marcos