論文

査読有り
2016年

Urologic diseases in the emergency department

Japanese Journal of Urology
  • Yusuke Tominaga
  • ,
  • Satoshi Katayama
  • ,
  • Eiichi Ando
  • ,
  • Tadasu Takenaka
  • ,
  • Katsuyoshi Kondo

107
4
開始ページ
239
終了ページ
244
記述言語
日本語
掲載種別
研究論文(学術雑誌)
DOI
10.5980/jpnjurol.107.239
出版者・発行元
Japanese Urological Association

(Objectives) This paper aimed to report the clinical statistics on urologic diseases treated in the emergency department (ED). (Patients and methods) We retrospectively evaluated 1,480 patients diagnosed with urologic diseases in the ED between January 2013 and December 2014. We reviewed the patients' sex, age, main complaints, emergency grade, care-seeking process, hospitalization, examination items, and diagnosis. We also reviewed the correct-diagnosis rates of patients who visited the ED for the first time and were followed up at the urology department. (Results) Of the patients, 2.6% were diagnosed as having a urologic disease, with a male-to-female ratio of 1.5:1. The age distribution ranged from 0 to 101 years, with a median age of 53 years. Patients who required hospitalization accounted for 17.8%. The diagnoses were urolithiasis (546 cases), cystitis (220 cases), and pyelonephritis (137 cases), in order of frequency. The correct-diagnosis rates of urolithiasis (91.2%), benign prostatic hyperplasia (75.0%), and pyelonephritis (71.9%) were high. However, those of testicular torsion (0%), urologic neoplasm (26.7%), prostatitis (35.7%), and epididymitis (35.7%) were low. (Conclusion) In the ED, 82.2% of cases of urologic diseases were mild and did not require hospitalization. The correct-diagnosis rate of acute scrotum was low, as it was difficult to diagnose and thus difficult to manage in the ED. Therefore, urologists should cooperate with ED staff and warn them that cases of acute scrotum should be subjected to emergency consultation.

リンク情報
DOI
https://doi.org/10.5980/jpnjurol.107.239
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/29070737
ID情報
  • DOI : 10.5980/jpnjurol.107.239
  • ISSN : 0021-5287
  • PubMed ID : 29070737
  • SCOPUS ID : 85035073956

エクスポート
BibTeX RIS