Admission Rates and Costs Associated with Emergency Presentation of Urolithiasis: Analysis of the Nationwide Emergency Department Sample 2006–2009

Eaton, Samuel H.; Cashy, John; Pearl, Jeffrey; Stein, Daniel M.; Perry, Kent T.; Nadler, Robert B.

doi:10.1089/end.2013.0205

Cited by 41 publications

(31 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Urolithiasis is a common cause of ED visits Average of 1.2 million patients per year were identified with the diagnosis of urolithiasis out of 120 million visits to the ED annually, with overall average admission rate of 19% ( 11 ). Though it may be asymptomatic, nearly 1 in 7 Americans suffer from urolithiasis during their lifetime ( 15 ), many of whom present with typical colicky pain at ED.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, most studies about the link between PCT and septic shock focused on generally ill patients with heterogeneous clinical conditions rather than a specific disease, compromising the predictability of PCT. Therefore, we investigated the role of PCT as an early predictor of progression to septic shock among patients with sepsis induced by APN secondary to ureteral calculi, which represents a significant portion of emergency department (ED) visits ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Procalcitonin determined at emergency department as an early indicator of progression to septic shock in patient with sepsis associated with ureteral calculi

Park

et al. 2016

Int. braz j urol.

View full text Add to dashboard Cite

Introduction:To investigate the role of initial procalcitonin (PCT) level as an early predictor of septic shock for the patient with sepsis induced by acute pyelonephritis (APN) secondary to ureteral calculi.Materials and Methods:The data from 49 consecutive patients who met criteria of sepsis due to APN following ureteral stone were collected and divided into two groups: with (n=15) or without (n=34) septic shock. The clinical variables including PCT level for this outcome were retrospectively compared by univariate analysis, followed by multivariable logistic regression model.Results:All subjects had hydronephrosis, and were hospitalized with the mean of 11.8 days (3–42 days). The mean size of the ureteral stones was 7.5mm (3–30mm), and 57% were located in upper ureter. At univariate analysis, patients with septic shock were significantly older, a higher proportion had hypertension, lower platelet count and serum albumin level, higher CRP and PCT level, and higher positive blood culture rate. Multivariate models indicated that lower platelet count and higher PCT level are independent risk factors (p=0.043 and 0.046, respectively). In ROC curve, the AUC was significantly wider in PCT (0.929), compared with the platelet count (0.822, p=0.004). At the cut-off of 0.52ng/mL, the sensitivity and specificity were 86.7% and 85.3%.Conclusion:Our study demonstrated elevated initial PCT levels as an early independent predictor to progress into septic shock in patients with sepsis associated with ureteral calculi.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Procalcitonin determined at emergency department as an early indicator of progression to septic shock in patient with sepsis associated with ureteral calculi

Park

et al. 2016

Int. braz j urol.

View full text Add to dashboard Cite

show abstract

“…It determines large costs for the health care systems in the world. In 2000, the estimated treatment cost of urolithiasis was more than two billion dollars in the United States 4 . In 2012, the Brazilian Unified Health System (SUS) has spent more than 32.5 million reais on hospital visits and admissions due to urolithiasis in Brazil 5 .…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of urolithiasis consultations in the Paraíba Valley

Silva

Maciel

2016

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

Objective: to know the epidemiological profile of patients with urolithiasis in the Paraíba Valley region, identifying its prevalence and spatial distribution. Method: we conducted a cross-sectional study, by residence location in the Paraíba Valley, on morbidity data due to urolithiasis obtained from the DATASUS, covering the period between 2010 and 2012. We aimed at identifying the general, male and female prevalence of urolithiasis, the distribution by age, type of visit, year season and spatial distribution. Results: there were 1,901 visits for urolithiasis in the 35 municipalities of the Paraíba Valley in the three years studied, 52.3% of them of female patients. Of the total, 70.1% of the visits were emergency ones. The feminine visits (67.2%) were mostly also urgent (p <0.01). The overall prevalence for urolithiasis was 31.7/100,000. Male prevalence was 30.7/100,000, and the female, 32.7/100,000 (p>0.05). The prevalence ratio was 0.9 men for every woman. The age group with the highest prevalence was between 30 and 39 years, with 23.1%. Warm seasons concentrated 51.6% of cases, while 48.8% occurred in the cold ones (p>0.05) . Conclusion: women are more affected by urolithiasis than the male in the Paraíba Valley region, an unprecedented in the literature. There was no relationship between the year season and the disease. We identified municipalities where preventive actions of urinary lithogenesis are required.

show abstract

“…Estimates of direct costs to care for and treat patients with stones and the indirect costs related to lost work time exceed $5 billion USD. 10,11 The observed increases in healthcare expenditures associated with nephrolithiasis are likely due to the increasing prevalence 12 and procedure-related costs, despite a shift towards outpatient treatment, shorter length of hospital stay, and more minimally invasive procedures. 11 Given the rising rates of obesity and diabetes and their association with stone formation, the cost of managing stone disease is expected to increase to 1.24 billion dollars yearly in the U.S. by 2030.…”

Section: Introductionmentioning

confidence: 99%

CUA guideline on the evaluation and medical management of the kidney stone patient ‒ 2016 update

Dion¹,

Ankawi²,

Chew³

et al. 2016

CUAJ

View full text Add to dashboard Cite

Admission Rates and Costs Associated with Emergency Presentation of Urolithiasis: Analysis of the Nationwide Emergency Department Sample 2006–2009

Cited by 41 publications

References 5 publications

Procalcitonin determined at emergency department as an early indicator of progression to septic shock in patient with sepsis associated with ureteral calculi

Procalcitonin determined at emergency department as an early indicator of progression to septic shock in patient with sepsis associated with ureteral calculi

Epidemiology of urolithiasis consultations in the Paraíba Valley

CUA guideline on the evaluation and medical management of the kidney stone patient ‒ 2016 update

Contact Info

Product

Resources

About