Laboratory parameters can be used to differentiate renal infarction and urolithiasis in patients who are admitted to the emergency department with flank pain

Hasan Basri ÇETİNKAYA; Tufan ALATLI

doi:https://doi.org/10.32322/jhsm.926837

Makale detayları

Laboratory parameters can be used to differentiate renal infarction and urolithiasis in patients who are admitted to the emergency department with flank pain

Yazarlar:

Hasan Basri ÇETİNKAYA | Tufan ALATLI

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Journal of Health Sciences and Medicine 2021 Vol.4 Issue 4, pp.462-465

Belge Tipi:

Makale

Yayın Tarihi:

7/2021

Belge Dili:

İngilizce

Document ID (Org No.):

2000481983

Sıklık:

İki Aylık

eISSN:

2636-8579

DOI:

https://doi.org/10.32322/jhsm.926837

Özet:

 

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.

Makale detayları

Laboratory parameters can be used to differentiate renal infarction and urolithiasis in patients who are admitted to the emergency department with flank pain

Yazarlar: Hasan Basri ÇETİNKAYA | Tufan ALATLI

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Sağlık teşvikleri

Dergi: Journal of Health Sciences and Medicine 2021 Vol.4 Issue 4, pp.462-465

Belge Tipi: Makale

Yayın Tarihi: 7/2021

Belge Dili: İngilizce

Document ID (Org No.): 2000481983

Sıklık: İki Aylık

eISSN: 2636-8579

DOI: https://doi.org/10.32322/jhsm.926837

Sayı

Yazarlar:

Hasan Basri ÇETİNKAYA | Tufan ALATLI

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Journal of Health Sciences and Medicine 2021 Vol.4 Issue 4, pp.462-465

Belge Tipi:

Makale

Yayın Tarihi:

7/2021

Belge Dili:

İngilizce

Document ID (Org No.):

2000481983

Sıklık:

İki Aylık

eISSN:

2636-8579

DOI:

https://doi.org/10.32322/jhsm.926837