Abstract
References
- Çalık M, Büyükcam F, Zengin Y, Afacan MA, Odabaş Ö. Acil servise yan ağrısı ile başvuru nedenleri ve ürolitiyaziste klinik değerlendirme. Yeni Üroloji Derg 2014; 9: 28-33
- Eren N, Gungor O, Kocyigit I, et al. Acute renal infarction in Turkey: a review of 121 cases. Int Urol Nephrol 2018; 50: 2067–72
- Bourgault M, Grimbert P, Verret C, et al. Acute renal infarction: a case series. Clin J Am Soc Nephrol 2013; 8: 392–8.
- Silverberg D, Menes T, Rimon U, Salomon O, Halak M. Acute renal artery occlusion: Presentation, treatment, and outcome. J Vasc Surg 2016; 64: 1026–32.
- Mesiano P, Rollino C, Beltrame G, et al. Acute renal infarction: a single center experience. J Nephrol 2016; 30: 103–7.
- Kagaya S, Yoshie O, Fukami H, et al. Renal infarct volume and renal function decline in acute and chronic phases. Clin Exp Nephrol 2017; 21: 1030–4.
- Markabawi D, Singh-Gambhir H. Acute renal infarction: a diagnostic challenge. Am J Emerg Med 2018; 36: 1325.e1–1325.e2
- Bae EJ, Hwang K, Jang HN, et al. A retrospective study of short- and long-term effects on renal function after acute renal infarction. Renal Failure, 2014; 36: 1385–9.
- Taşlıdere B. Acil Serviste Üriner Sistem Taş Hastalığı Analizi, 1.Gastrointestinal Araştırma Kongresi, Malatya, Turkey, Pp.1, 2018
- Antopolsky M, Simanovsky N, Stalnikowicz R, Salameh S, Hiller N. Renal infarction in the ED: 10-year experience and review of the literatüre. Am J Emerg Med 2012; 30: 1055–60.
- Domanovits H, Paulis M, Nikfardjam M, et al. Acute renal ınfarction: clinical characteristics of 17 patients. Medicine (Baltimore) 1999; 78: 386-94
- Suppiah A, Malde D, Arab T, et al. The prognostic value of the neutrophil-lymphocyte ratio (NLR) in acutepancreatitis: identification of an optimal NLR. J Gastrointest Surg 2013; 17: 675-81.
- Öncül MV, Dağar S, Emektar E, Çorbacıoğlu ŞK, Aytar H, Çevik Y. Effects of systemic ınflammatory parameters on mortality in elderly patients admitted to emergency department with abdominal pain. İstanbul Med J 2019; 20: 125-9.
- Chen L, Zhang Y. Comparison of the diagnostic values of leukocytes, neutrophils, neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio in distinguishing between acute appendicitis and right ureterolithiasis. Clin Lab 2020; 66.
- Günaydın GP, Doğan NÖ, Çevik Y, Korkmaz H, Savrun A, Çıkrıkçı G. Evaluation of patients with renal colic that present to an emergency department during the month of Ramadan. JAEM 2013; 12: 24-6.
Laboratory parameters can be used to differentiate renal infarction and urolithiasis in patients who are admitted to the emergency department with flank pain
Abstract
Abstract
Aim
We aimed to determine the predictive value of laboratory parameters for the distinction between urolithiasis (UL) and renal infarction (RI) in patients presenting to the emergency department with flank pain complaint.
Methods
In our retrospective study, the files of 73 patients who presented to the emergency department (ED) with flank pain and whose costovertebral angle tenderness was positive were reviewed. Routine blood tests and the results of contrast-enhanced abdominal computed tomography were obtained. The patients were divided into two groups as RI and UL according to the results of computed tomography. Accordingly, 8 patients were found to have RI, and 65 had UL.
Results
LDH and PLR values were significantly higher in the RI group compared to the UL group (p <0.001 - p = 0.045). In ROC curve analysis, the AUC values of LDH and PLR were determined as LDH (AUC = 0.983, p <0.001) and PLR (AUC = 0.719, p = 0.015) for their diagnostic performance in distinguishing between RI and UL.
Conclusion
In conclusion, we think that the use of LDH level and PLR value may be guiding in making a distinction between UL, one of the frequent reasons for presenting to ED, and RI, in which rare but early diagnosis of plank pain is critical in terms of renal parenchymal damage.
References
- Çalık M, Büyükcam F, Zengin Y, Afacan MA, Odabaş Ö. Acil servise yan ağrısı ile başvuru nedenleri ve ürolitiyaziste klinik değerlendirme. Yeni Üroloji Derg 2014; 9: 28-33
- Eren N, Gungor O, Kocyigit I, et al. Acute renal infarction in Turkey: a review of 121 cases. Int Urol Nephrol 2018; 50: 2067–72
- Bourgault M, Grimbert P, Verret C, et al. Acute renal infarction: a case series. Clin J Am Soc Nephrol 2013; 8: 392–8.
- Silverberg D, Menes T, Rimon U, Salomon O, Halak M. Acute renal artery occlusion: Presentation, treatment, and outcome. J Vasc Surg 2016; 64: 1026–32.
- Mesiano P, Rollino C, Beltrame G, et al. Acute renal infarction: a single center experience. J Nephrol 2016; 30: 103–7.
- Kagaya S, Yoshie O, Fukami H, et al. Renal infarct volume and renal function decline in acute and chronic phases. Clin Exp Nephrol 2017; 21: 1030–4.
- Markabawi D, Singh-Gambhir H. Acute renal infarction: a diagnostic challenge. Am J Emerg Med 2018; 36: 1325.e1–1325.e2
- Bae EJ, Hwang K, Jang HN, et al. A retrospective study of short- and long-term effects on renal function after acute renal infarction. Renal Failure, 2014; 36: 1385–9.
- Taşlıdere B. Acil Serviste Üriner Sistem Taş Hastalığı Analizi, 1.Gastrointestinal Araştırma Kongresi, Malatya, Turkey, Pp.1, 2018
- Antopolsky M, Simanovsky N, Stalnikowicz R, Salameh S, Hiller N. Renal infarction in the ED: 10-year experience and review of the literatüre. Am J Emerg Med 2012; 30: 1055–60.
- Domanovits H, Paulis M, Nikfardjam M, et al. Acute renal ınfarction: clinical characteristics of 17 patients. Medicine (Baltimore) 1999; 78: 386-94
- Suppiah A, Malde D, Arab T, et al. The prognostic value of the neutrophil-lymphocyte ratio (NLR) in acutepancreatitis: identification of an optimal NLR. J Gastrointest Surg 2013; 17: 675-81.
- Öncül MV, Dağar S, Emektar E, Çorbacıoğlu ŞK, Aytar H, Çevik Y. Effects of systemic ınflammatory parameters on mortality in elderly patients admitted to emergency department with abdominal pain. İstanbul Med J 2019; 20: 125-9.
- Chen L, Zhang Y. Comparison of the diagnostic values of leukocytes, neutrophils, neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio in distinguishing between acute appendicitis and right ureterolithiasis. Clin Lab 2020; 66.
- Günaydın GP, Doğan NÖ, Çevik Y, Korkmaz H, Savrun A, Çıkrıkçı G. Evaluation of patients with renal colic that present to an emergency department during the month of Ramadan. JAEM 2013; 12: 24-6.
Details
| Primary Language | English |
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| Subjects | Health Care Administration |
| Journal Section | Original Article |
| Authors | |
| Publication Date | July 15, 2021 |
| Published in Issue | Year 2021 Volume: 4 Issue: 4 |
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