2020
DOI: 10.1007/s11255-020-02708-3
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COVID-19 pandemic impact on clinical outcomes of patients with obstructive pyelonephritis

Abstract: Purpose Obstructive pyelonephritis is a common urologic emergency that requires prompt decompression of the collecting system. The COVID-19 pandemic has changed patient flow and healthcare strategies at numerous emergency departments across Brazil with still unknown consequences for the population. This study sought to investigate the impact of the COVID-19 outbreak on clinical outcomes in patients with acute obstructive pyelonephritis at a tertiary academic center. Materials and methods After Institutional Re… Show more

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Cited by 8 publications
(10 citation statements)
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“…Unlike our experience, however, other groups providing proper therapy timelines reported inferior clinical outcome, again suggesting a negative impact of patient delay in presentation. [12][13][14][15]19 We are aware that our study has some limitations. First, it represents the experience of a single tertiary referral medical centre in a highly developed urban region with sufficient resources to cope with regular emergencies as well as the extra burden caused by COVID-19-infected patients.…”
Section: Discussionmentioning
confidence: 99%
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“…Unlike our experience, however, other groups providing proper therapy timelines reported inferior clinical outcome, again suggesting a negative impact of patient delay in presentation. [12][13][14][15]19 We are aware that our study has some limitations. First, it represents the experience of a single tertiary referral medical centre in a highly developed urban region with sufficient resources to cope with regular emergencies as well as the extra burden caused by COVID-19-infected patients.…”
Section: Discussionmentioning
confidence: 99%
“…Those with obstructing pyelonephritis may have had higher complications rates and SIRS levels, and such delays were translated into higher rates of morbidity and mortality. 18 , 19 A plausible explanation for the patients' reluctance to seek emergency care appears to be public anxiety about exposure to the virus. This issue was not addressed in depth by medical organisations until late into the pandemic, when instructive medical messages started to emerge through mass media.…”
Section: Discussionmentioning
confidence: 99%
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