Süleyman ERSOY, Fevzi YILMAZ, Erkan DULKADİROĞLU, Cihat YEL

RAMAZAN AYINDA ACİL SERVİSE RENAL KOLİK NEDENİYLE BAŞVURAN HASTALARIN KLİNİK VE LABORATUVAR BULGULARININ DEĞERLENDİRİLMESİ, TEK MERKEZLİ BİR ÇALIŞMA

AMAÇ: Bu çalışmada Ramazan ayında renal kolik (RK) nedeniyle acil servise başvuran hastaların demografik, laboratuvar ve radyolojik sonuçlarını değerlendirmeyi amaçladık.GEREÇ VE YÖNTEM: Bu retrospektif kesitsel çalışma, 2019 Ramazan ayı ve Ramazan ayından önceki 1 ay içinde acil servise RK tanısı ile başvuran hastaları içermektedir. Yaş, cinsiyet, başvuru saati, idrar tahlili sonuçları (eritrositüri, lökositüri, ketonüri, idrar dansitesi), radyolojik görüntülemede taş varlığı ve taşın üriner sistemdeki yeri kaydedildi. Hastalar, Ramazan öncesi aydaki hastalar (Grup 1, n = 83); Ramazan ayında oruç tutan hastalar (Grup 2, n = 55); ve Ramazan ayında oruç tutmayan hastalar (Grup 3, n = 37) olarak üç gruba ayrıldı.BULGULAR: Çalışmaya katılanların %52,6'sı Ramazan ayında ve %47,4'ü bir önceki ay içinde başvurdu. Gruplar arasında yaş, idrarda lökosit, keton, taş varlığı ve taşın lokalizasyonu açısından anlamlı fark yoktu (p> 0.05). Grup 3’te idrarda eritrosit anlamlı olarak düşüktü. Grup 2'de erkek oranı ve 16-24 saatleri arasında hasta başvuru sıklığı diğer gruplara göre daha yüksekti. Grup 1'in idrar yoğunluğu grup 2 ve 3'e göre anlamlı derecede düşük bulundu ancak grup 2 ve 3 arasında fark yoktu.SONUÇ: Oruç tutan hastaların renal kolik nedeniyle acil servise en sık 16-24 saatleri arasında başvurduğu bulundu. Grup 3'te idrarda eritrosit anlamlı olarak daha az bulundu. Ayrıca Ramazan ayında başvuran hastaların idrar dansitelerindeki yüksekliğin oruç ile değil artan hava sıcaklığı ile ilgili olduğunu düşünmekteyiz.

Anahtar Kelimeler:

Acil Servis, Ramazan, Renal Kolik

EVALUATION OF CLINICAL AND LABORATORY FINDINGS OF PATIENTS APPLYING TO THE EMERGENCY DEPARTMENT DUE TO RENAL COLIC IN RAMADAN, A SINGLE CENTER STUDY

OBJECTIVE: We aimed to evaluate the demographic, laboratory and radiological results of patients who applied to the emergency department due to renal colic (RC) during Ramadan.MATERIAL AND METHODS: This retrospective cross-sectional study included patients applied to emergency department (ED) with a diagnosis of RC during 2019 Ramadan and the 1 month preceding Ramadan. Age, sex, the hour of application, the results of urinalysis (erythrocyturia, leukocyturia, ketonuria, and urine density), presence of stones on radiological imaging and the location of the stone in the urinary system were recorded. The patients were grouped into three groups as the patients in the month preceding Ramadan (Group 1, n=83); patients fasting in Ramadan (Group 2, n=55); and patients not fasting in Ramadan (Group 3, n=37).RESULTS: Of the study population, 52.6% applied in Ramadan and 47.4% in the preceding month. There was no significant difference between the groups with respect to mean age, urinary leukocytes, urinary ketone, presence of stones and location of stones (p>0.05). Urinary erythrocytes were significantly lower in Group 3. The proportion of men and frequency of patients' admission between 16-24 hours in Group 2 was higher than the other groups. Urine density of Group 1 was found to be significantly lower than groups 2 and 3, but there was no difference between groups 2 and 3.CONCLUSIONS: It was found that fasting patients applied to the emergency department most frequently between the hours of 4 p.m. and 12 a.m. due to renal colic. Urinary erythrocytes were found significantly less in Group 3. In addition, we think that the high urine densities of the patients who applied during Ramadan are not related to fasting but to the increasing air temperature.

Keywords:

Emergency department, Ramadan, Renal colic,

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