대표어
한국학술지인용색인(NRF)
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| 기사명 | 저자명 | 페이지 | 원문 | 기사목차 |
|---|
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초록보기
Purpose: Ureteral calculi are commonly encountered in the emergency department. Ureteral calculi influence the quality of life of patients, causing pain and economic burden. The optimal management of ureteral calculi remains a challenge for practicing physicians; therefore, this study was designed to determine which factors are related to the failure of their spontaneous passage. Methods: This study was a retrospective review of the medical records of one hundred ninety-five patients who visited the emergency department complaining of renal colic from February 2012 to December 2012. Bivariate analyses were conducted relating physical, laboratory, and radiological methods to predict the failure of spontaneous passage. A multivariate logistic regression model was then derived, with all variables in the final model significant at p<0.05. Results: One hundred twenty-eight stones were spontaneously expelled and sixty-seven were not. The mean stone size was significantly larger in the non-passage group than the passage group (p<0.001). When the stones were located in the upper ureter, or on the right side, the spontaneous passage rate was lower (p<0.001, p=0.035). Increased neutrophils and positive tests for urinary protein and bilirubin were also associated with the decreased likelihood of spontaneous passage (p=0.046, p=0.029, and p=0.048, respectively). In addition, the longer duration of symptoms and a previous history of ureteral calculi were related to a lower chance of spontaneous passage (p=0.005, p=0.019). Conclusion: Prognostic factors of failure, after the initial expectant management of ureteral calculi, included: calculi size, location (e.g., side), the duration of symptoms, the previous history, neutrophil levels, urinary bilirubin levels, and urinary protein levels. Therefore, emergency physicians need to cautiously decide between watchful waiting and interventions in these patients.
권호기사
참고문헌 (21건) : 자료제공( 네이버학술정보 )
| 번호 | 참고문헌 | 국회도서관 소장유무 |
|---|---|---|
| 1 | Management of ureteral calculi and medical expulsive therapy in emergency departments.  |
미소장 |
| 2 | An Update and Practical Guide to Renal Stone Management |
미소장 |
| 3 | The Korean Society of Emergency Medicine. Emergency medicine. 1st ed. Seoul: Koonja; 2011. p.748. | 미소장 |
| 4 | Urolithiasis: the influence of stone size on management |
미소장 |
| 5 | Cost-Effectiveness of Medical Expulsive Therapy Using Alpha-Blockers for the Treatment of Distal Ureteral Stones |
미소장 |
| 6 | The Efficacy of Furosemide-based Medical Expulsive Therapy with Tamsulosin and Deflazacort for Symptomatic Distal Ureter Stones | 소장 |
| 7 | Role of white blood cell and neutrophil counts in predicting spontaneous stone passage in patients with renal colic. |
미소장 |
| 8 | Preminger GM, Tiselius HG, Assimos DG, Alken P, Buck C, Gallucci M et al. 2007 guideline for the management of ureteral calculi. J Urol. 2007;78:2418-34. | 미소장 |
| 9 | Effect of Tamsulosin on the Expectant Treatment of Lower Ureteral Stones | 소장 |
| 10 | Expectant management of ureter stones : outcome and clinical factors of spontaneous passage in a single institution's experience | 소장 |
| 11 | Predicting Factors for Spontaneous Passage of Ureteral Calculi Based on Unenhanced Helical CT Findings | 소장 |
| 12 | Relationship of spontaneous passage of ureteral calculi to stone size and location as revealed by unenhanced helical CT. |
미소장 |
| 13 | TIME TO STONE PASSAGE FOR OBSERVED URETERAL CALCULI: A GUIDE FOR PATIENT EDUCATION |
미소장 |
| 14 | Predictors for spontaneous stone passage in patients with renal colic secondary to ureteral calculi. |
미소장 |
| 15 | Arumuham V, Mehta S, Almpanis S, Nicol D, Ajayi L. Is follow-up required for uncomplicated distal ureteric stones <6 mm? Int J Surg. 2011;7:513. | 미소장 |
| 16 | Comparison of stone size and response to analgesic treatment in predicting outcome of patients with renal colic |
미소장 |
| 17 | Robertson WG, Heyburn PJ, Peacock M, Hanes FA, Swaminathan R. The effect of high animal protein intake on the risk of calcium stone-formation in the urinary tract. Clini Sci (Lond). 1979;57:285-8. | 미소장 |
| 18 | The Effects of Vegetable and Animal Protein Diets on Calcium, Urate and Oxalate Excretion |
미소장 |
| 19 | Idiopathic Recurrent Calcium Urolithiasis (IRCU): Variation of Fasting Urinary Protein is a Window to Pathophysiology or Simple Consequence of Renal Stones in situ? |
미소장 |
| 20 | McPherson, RA, Pincus MR. Henry’s clinical diagnosis and management by laboratory methods. 22th ed. Philadelphia: Elsevier; 2011. p.459. | 미소장 |
| 21 | Adjunctive therapy to promote stone passage. |
미소장 |
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