Prospective validation of a current algorithm including bedside US performed by emergency physicians for patients with acute flank pain suspected for renal colic.

Emergency Medicine Journal : EMJ
M KartalS Yilmaz

Abstract

The purpose of this study was to validate an algorithm recommended by current literature for the patients with acute flank pain and evaluate the validity of bedside ultrasonography (US) performed by emergency physicians (EP) as a part of this algorithm. This prospective validation study was carried out over a 5 month period in a tertiary care hospital adult emergency department (ED) with annual attendance of 55,000. Adult patients presenting to the ED with unilateral acute flank pain during the study period were enrolled into the study consecutively. Oral consent was obtained after the protocol was briefly explained to the patient and before the administration of analgesia. A protocol form was recorded for each patient enrolled into the study, and patients were followed up under the guidance of a previously designated algorithm in the ED. Data were analysed with SPSS software. The chi2 test was used to compare the dichotomised data of patients, diagnosed with and without stones, and to select the significant parameters to be used in the logistic regression. Of the 227 patients enrolled, 176 were proven to have urinary tract stones. There were 122 patients discharged from ED without further investigation except urinalysis and be...Continue Reading

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Citations

Oct 15, 2009·Urological Research·Gayathri VarmaY M Fazil Marickar
Apr 25, 2013·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Mehmet Fatih InciMehmet Okumus
Jan 1, 2010·Journal of Medical Ultrasonics·Toru KamedaAtsuko Numao
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Sep 15, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Timothy B JangAmy Kaji
Apr 8, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Marek NemecRoland Bingisser
Jun 4, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·E DickmanJ P Marshall
Nov 5, 2016·Journal of Endourology·David T TzouThomas Chi
Jul 20, 2016·Ultrasound : Journal of the British Medical Ultrasound Society·Christopher CoxPaul R Atkinson
May 16, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·J Christian FoxRalph V Clayman
Jun 22, 2017·The American Journal of Emergency Medicine·Hiroki FukuharaNorihiko Tsuchiya
Jul 20, 2017·Emergency Medicine Journal : EMJ·Gabriel BlecherPhilip McCahy
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Jun 29, 2021·Journal of the American College of Emergency Physicians Open·Erik DotyElizabeth Schoenfeld
Jul 21, 2020·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·Peiman NazerianCristiano Perani

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