Rise in Emergency Department Visits of Pediatric Patients for Renal Colic From 1999 to 2008

Kairam, N.; Eskin, Barnet

doi:10.1097/pec.0b013e31828a302b

Cited by 19 publications

(6 citation statements)

References 14 publications

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“…Although renal colic among children in the United States remains relatively uncommon compared to adults, its incidence has risen in the past decade and a half (1)(2)(3). Emergency department (ED) visits for pediatric renal colic have nearly doubled from 1999 to 2008, from 0.05% to 0.09% (1).…”

Section: Introductionmentioning

confidence: 99%

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Avoiding Computed Tomography Scans By Using Point-Of-Care Ultrasound When Evaluating Suspected Pediatric Renal Colic

Tsung

2015

The Journal of Emergency Medicine

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Section: Introductionmentioning

confidence: 99%

“…Emergency department (ED) visits for pediatric renal colic have nearly doubled from 1999 to 2008, from 0.05% to 0.09% (1).…”

Section: Introductionmentioning

confidence: 99%

Avoiding Computed Tomography Scans By Using Point-Of-Care Ultrasound When Evaluating Suspected Pediatric Renal Colic

Tsung

2015

The Journal of Emergency Medicine

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“…Relevant pediatric-specific literature Renal colic/hydronephrosis Although much less common in pediatric patients, the incidence of urolithiasis is increasing, with some accounts reporting as much as an 86 % increase in children diagnosed with renal colic in the past decade [334–336]. Ultrasound is less sensitive than CT in identifying urolithiasis, especially ureteric stones [337].…”

Section: Diagnostic Applications Of Ultrasoundmentioning

confidence: 99%

Pediatric emergency medicine point-of-care ultrasound: summary of the evidence

et al. 2016

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The utility of point-of-care ultrasound is well supported by the medical literature. Consequently, pediatric emergency medicine providers have embraced this technology in everyday practice. Recently, the American Academy of Pediatrics published a policy statement endorsing the use of point-of-care ultrasound by pediatric emergency medicine providers. To date, there is no standard guideline for the practice of point-of-care ultrasound for this specialty. This document serves as an initial step in the detailed “how to” and description of individual point-of-care ultrasound examinations. Pediatric emergency medicine providers should refer to this paper as reference for published research, objectives for learners, and standardized reporting guidelines.

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“…Moreover the incidence of childhood urolithiasis is increasing. From 1999 to 2008, the percentage of pediatric emergency department visits for renal stones increased by 86 % [ 1 , 3 , 4 ]. Given this trend, the need to ascertain when surgical intervention for pediatric kidney stones is of significant importance [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Patient and Stone Characteristics Associated with Surgical Intervention in Pediatrics

Jun

Metcalfe

Mandhane

et al. 2015

Can J Kidney Health Dis

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BackgroundThe incidence of kidney stones in children is increasing. While guidelines exist for acute surgical intervention, there is limited data to inform the decision as to when to intervene non-urgently.ObjectivesTo identify patient and stone characteristics predicting stone surgery in children.DesignRetrospective chart review.SettingStollery Children’s Hospital, Edmonton, Alberta, Canada from 1990 to 2013.PatientsSixty-three children aged 0–18 years old who presented with a total of 142 stones.MeasurementsPatient’s surgical history, demographics, metabolic measures, and stone number, type, and location.MethodsUnivariate and multivariate analysis, controlling for presentation number and individual-level variation by repeated measures analysis were conducted to assess for patient and stone characteristics associated with surgical intervention.ResultsSixty-five percent (41/63) required surgery during a mean follow-up of 19 months. Stone characteristics associated with surgical intervention by multivariate analysis included larger stone size (>6 mm), and stone composition of calcium oxalate.LimitationsSingle center study with a limited sample size and duration of follow up, thereby limiting predictive power. There were some missing data (i,e. stone type was not always available). Despite this, stone type remained significant in multivariate modeling.ConclusionStone size > 6mm and composition with calcium oxalate but not patient age or symptoms associated with presentation predicted surgical intervention. These observations can be used to inform decisions as to whether urolithiasis should be surgically managed electively or observed.Electronic supplementary materialThe online version of this article (doi:10.1186/s40697-015-0057-6) contains supplementary material, which is available to authorized users.

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Rise in Emergency Department Visits of Pediatric Patients for Renal Colic From 1999 to 2008

Abstract: We found a marked increase in ED pediatric visits for renal colic over the past decade. This may reflect a real increase in the incidence of renal colic in the pediatric population or an increased use of imaging modalities for abdominal and flank pain.

Cited by 19 publications

References 14 publications

Avoiding Computed Tomography Scans By Using Point-Of-Care Ultrasound When Evaluating Suspected Pediatric Renal Colic

Avoiding Computed Tomography Scans By Using Point-Of-Care Ultrasound When Evaluating Suspected Pediatric Renal Colic

Pediatric emergency medicine point-of-care ultrasound: summary of the evidence

Patient and Stone Characteristics Associated with Surgical Intervention in Pediatrics

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