Evidence map›Paper›PMID 32993921›Full record

ArticleActas urologicas espanolas2020

Assessment of trends and clinical presentation in the emergency department of patients with renal colic during the COVID-19 pandemic era.

D M Carrion, G Mantica, M Antón-Juanilla M, K H Pang, S Tappero, A Rodriguez-Serrano, S Parodi, V Crespo-Atín, R Cansino, C Terrone and 3 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Actas urologicas espanolas, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 5 countries.

D M CarrionUrology Department, La Paz University Hospital, Autonomous University of Madrid, Madrid, España; European Society of Residents in Urology (ESRU).
G ManticaEuropean Society of Residents in Urology (ESRU); Department of Urology, Policlinico San Martino Hospital, University of Genova, Génova, Italia.
M Antón-Juanilla MDepartment of Urology, Cruces University Hospital, Barakaldo, Vizcaya, España.
K H PangEuropean Society of Residents in Urology (ESRU); Department of Oncology and Metabolism, Academic Urology Unit, University of Sheffield, Sheffield, Reino Unido.
S TapperoDepartment of Urology, Policlinico San Martino Hospital, University of Genova, Génova, Italia.
A Rodriguez-SerranoUrology Department, La Paz University Hospital, Autonomous University of Madrid, Madrid, España.
S ParodiDepartment of Urology, Policlinico San Martino Hospital, University of Genova, Génova, Italia.
V Crespo-AtínDepartment of Urology, Cruces University Hospital, Barakaldo, Vizcaya, España.
R CansinoUrology Department, La Paz University Hospital, Autonomous University of Madrid, Madrid, España.
C TerroneDepartment of Urology, Policlinico San Martino Hospital, University of Genova, Génova, Italia.
S NiklesEuropean Society of Residents in Urology (ESRU); Department of Urology, Sestre Milosrdnice University Hospital Centre, Zagreb, Croacia. Electronic address: sven.nikles@gmail.com.
J Gomez RivasUrology Department, La Paz University Hospital, Autonomous University of Madrid, Madrid, España; European Society of Residents in Urology (ESRU).
F EspertoEuropean Society of Residents in Urology (ESRU); Department of Urology, Campus Biomedico, University of Rome, Roma, Italia.
European Association of Urology · NLOspedale Policlinico San Martino · ITUniversidad Autónoma de Madrid · ESHospital de Cruces · ESUniversity Hospital Centre Zagreb · HRUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe hypothesized that the recent COVID-19 pandemic may lead to a delay in renal colic patients presenting to the Emergency Department due to the fear of getting infected. This delay may lead to a more severe clinical condition at presentation with possible complications for the patients. MATERIAL AND

methodsRetrospective review of data collected from three institutions from Spain and Italy. Patients who presented to Emergency Department with unilateral or bilateral renal colic caused by imaging confirmed urolithiasis during the 45 days before and after each national lockdown were included. Data collected included patients' demographics, biochemical urine and blood tests, radiological tests, signs, symptoms and the therapeutic management. Analysis was performed between two groups, Group A: patients presenting prior to the national lockdown date; and Group B: patients presenting after the national lockdown date.

resultsA total of 397 patients presented to Emergency Department with radiology confirmed urolithiasis and were included in the study. The number of patients presenting to Emergency Department with renal/ureteric colic was 285 (71.8%) patients in Group A and 112 (28.2%) patients in Group B (p<0.001). The number of patients reporting a delay in presentation was 135 (47.4%) in Group A and 63 (56.3%) in Group B (p=0.11). At presentation, there were no statistical differences between Group A and Group B regarding the serum creatinine level, C reactive protein, white blood cell count, fever, oliguria, flank pain and hydronephrosis. In addition, no significant differences were observed with the length of stay, Urology department admission requirement and type of therapy.

conclusionData from our study showed a significant reduction in presentations to Emergency Department for renal colic after the lockdown in Spain and Italy. However, we did not find any significant difference with the length of stay, Urology department admission requirement and type of therapy.

Indexed as

PandemicsSARS-CoV-2AdultCOVID-19Emergency Service, HospitalFemaleHumansItalyMaleMiddle AgedRenal ColicRetrospective StudiesSpainTime FactorsUreteral CalculiCólicos nefríticosCólicos renalesCOVID-19Emergency departmentLithiasisLitiasisRenal coliServicio de urgencias

Identifiers

PMID32993921
PMCPMC7476606
OpenAlexW3083959596

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.