The relationship between the severity of pain and stone size, hydronephrosis and laboratory parameters in renal colic attack

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dc.contributor.authorSasmaz M.İ.
dc.contributor.authorKirpat V.
dc.date.accessioned2024-07-22T08:08:19Z
dc.date.available2024-07-22T08:08:19Z
dc.date.issued2019
dc.description.abstractObjective: In this study, we investigated the relationship between the severity of pain level and hydronephrosis, hematuria and pyuria presence in the acute renal colic attack and whether there was a correlation between the stone size and inflammatory markers. Methods: The patients' pain scores determined by Visual Analog Scale (VAS), CRP, WBC and NLR levels from the laboratory results, hematuria and pyuria presence in the urine analysis and hydronephrosis presence in the imaging methods were recorded. Moreover, stone size was measured for the patients for whom computed tomography (CT) method was applied. Results: Mean age of the 275 patients was 41.0 ± 14.9 and 61.1% of them were male. The patients' mean VAS score was 73.3 ± 16.5.The mean VAS score of the groups of which hematuria and pyuria were positive and which have hydronephrosis finding was statistically higher than those whose were negative. The mean stone size was 5.2 ± 2.1 mm, and those with signs of hydronephrosis on their CT (n = 66) were 5.4 ± 2.3 mm, while those with no signs of hydronephrosis (n = 57) were 4.9 ± 1.7. No statistical difference was found in stone size between patients with hydronephrosis and those without. Not any correlations were determined between the stone size and VAS pain score of the cases. Conclusions: We detected that the pain level was not correlated with the stone size and big stones were not statistically riskier in the hydronephrosis development. However, we think that the risk of complications such as hydronephrosis is higher in the patients whose pain level are higher and the infection may be accompanied by this group. © 2019 Elsevier Inc.
dc.identifier.DOI-ID10.1016/j.ajem.2019.06.013
dc.identifier.issn07356757
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/14345
dc.language.isoEnglish
dc.publisherW.B. Saunders
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectBiomarkers
dc.subjectFemale
dc.subjectHematuria
dc.subjectHumans
dc.subjectHydronephrosis
dc.subjectKidney Calculi
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPain Measurement
dc.subjectProspective Studies
dc.subjectPyuria
dc.subjectRenal Colic
dc.subjectSeverity of Illness Index
dc.subjectYoung Adult
dc.subjectC reactive protein
dc.subjectnarcotic analgesic agent
dc.subjectnonsteroid antiinflammatory agent
dc.subjectparacetamol
dc.subjectbiological marker
dc.subjectadult
dc.subjectArticle
dc.subjectcomputer assisted tomography
dc.subjectcontrolled study
dc.subjectcorrelational study
dc.subjectdisease association
dc.subjectfemale
dc.subjecthematuria
dc.subjecthigh risk patient
dc.subjecthuman
dc.subjecthuman cell
dc.subjecthydronephrosis
dc.subjectkidney colic
dc.subjectlaboratory
dc.subjectleukocyte count
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectnephritis
dc.subjectnephrolithiasis
dc.subjectneutrophil lymphocyte ratio
dc.subjectpain severity
dc.subjectpriority journal
dc.subjectprospective study
dc.subjectpyuria
dc.subjectstone size
dc.subjecturinalysis
dc.subjectvisual analog scale
dc.subjectadolescent
dc.subjectaged
dc.subjectclinical trial
dc.subjecthematuria
dc.subjecthydronephrosis
dc.subjectkidney colic
dc.subjectmetabolism
dc.subjectmiddle aged
dc.subjectmulticenter study
dc.subjectnephrolithiasis
dc.subjectpain measurement
dc.subjectpathology
dc.subjectpyuria
dc.subjectseverity of illness index
dc.subjectvery elderly
dc.subjectyoung adult
dc.titleThe relationship between the severity of pain and stone size, hydronephrosis and laboratory parameters in renal colic attack
dc.typeArticle

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