Predictors for urologic intervention and alternate diagnoses in people having computed tomography urography for suspected renal colic

Emergency Medicine Australasia : EMA
Gabriel BlecherDaniel Boulos

Abstract

The majority of ureteric calculi pass spontaneously and are uncomplicated, yet use of computed tomography urography (CTU) has increased in recent years. This study describes a cohort of ED patients undergoing CTU for renal colic and assesses the predictors of urologic intervention. A retrospective cohort study enrolled patients who underwent CTU at three Melbourne EDs. Demographic data, clinical assessments, laboratory and radiological findings and interventions were abstracted. Univariate analysis was performed and significant predictors were entered into a multivariate logistic regression model to calculate adjusted odds ratios for associations with urologic intervention. Six hundred and seventeen patients underwent 626 CTUs; mean age was 48 and 67.7% were male. 58.2% of scans found calculi, of which median size was 4 mm. 9.2% of scans revealed an alternate diagnosis, of which 2.7% were acutely important. 14.6% of patients with calculi received an intervention. Multivariate analysis found the factors associated with intervention were female sex (OR 3.9, 95% CI 1.8-8.7), proximal calculus site (OR 4.1, 95% CI 1.5-11.7), single kidney (OR 9.0, 95% CI 1.7-49.0) and calculus size > 5 mm (OR 7.0, 95% CI 3.3-14.7). Factors associat...Continue Reading

References

Feb 13, 2003·Australasian Radiology·Richard M MendelsonJulian Mander
Apr 13, 2006·Scandinavian Journal of Urology and Nephrology·Klas LindqvistLars Grenabo
Aug 19, 2007·The Journal of Emergency Medicine·Joshua BroderJungyeon Yoon
Mar 26, 2010·The British Journal of Radiology·B LumbrerasI Hernández-Aguado
Dec 3, 2010·Mayo Clinic Proceedings·Eugene C Lin
Jul 19, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Antonio C WestphalenRalph Gonzales
Jun 12, 2012·Emergency Medicine Journal : EMJ·Peregrine James Dalziel, Vicki Elizabeth Noble
Aug 31, 2012·BMJ : British Medical Journal·Matthew Bultitude, Jonathan Rees
May 16, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Chris L MooreAnnette Molinaro
Jul 4, 2013·BMJ : British Medical Journal·Renda Soylemez WienerSteven Woloshin
Jul 4, 2013·BMJ : British Medical Journal·Paul GlasziouFiona Godlee
Sep 18, 2014·The New England Journal of Medicine·Rebecca Smith-BindmanSteven R Cummings
Dec 3, 2014·Annals of Emergency Medicine·Christopher L MooreCary P Gross

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Citations

Apr 26, 2018·Emergency Medicine Australasia : EMA·Diana Egerton-WarburtonDaniel M Fatovich
Jul 30, 2019·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Hadi MirfazaelianVenkatesh Thiruganasambandamoorthy
Jun 29, 2021·Journal of the American College of Emergency Physicians Open·Erik DotyElizabeth Schoenfeld

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