Navegando por Palavras-chave "Cólica renal"

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    Custos hospitalares do diagnóstico e tratamento da cólica renal em um serviço de emergência privado brasileiro
    (Sociedade Brasileira para o Estudo da Dor, 2013-03-01) Gatti, Maria Fernanda Zorzi; Ferraz, Marcos Bosi [UNIFESP]; Leão, Eliseth Ribeiro; Bussotti, Edna Aparecida; Caliman, Rafaela Aparecida Marques; Hospital Samaritano Pronto Socorro Adulto; Universidade Federal de São Paulo (UNIFESP); Hospital Israelita Albert Einstein Instituto de Ensino e Pesquisa Albert Einstein; Hospital Samaritano
    BACKGROUND AND OBJECTIVES: The incidence of renal colic is increasing in developing countries due to several factors, and takes people to the emergency service to relieve the acute and severe pain it induces. The economic impact of emergency diagnosis and management is not known in Brazil. This study aimed at evaluating the cost of renal colic diagnosis and management in a private emergency service and the variables influencing such cost. METHOD: This is a retrospective study evaluating the medical records of renal colic patients seen between August and September 2010 by a private emergency service of the city of São Paulo. RESULTS: We have evaluated 136 medical records of patients of both genders, with mean age of 39 years, 52% with history of stones and 30% with other comorbidities. WHO's analgesic scale was used in 48% of cases. Mean total cost was R$ 453.62 and the impact of patients' length of stay on cost was significant. CONCLUSION: Cost has widely varied since the study was carried out in a private institution with different paying sources. Length of stay in the emergency service was the only variable with statistical significance with regard to increased costs. Effective management and quality of assistance strategies, which decrease length of stay of patients in the emergency service, may contribute to decrease assistance costs.
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    Sinais de uretelolitíase na tomografia computadorizada helicoidal sem contraste: ensaio iconográfico e revisão de literatura
    (Colégio Brasileiro de Radiologia e Diagnóstico por Imagem, 2004-12-01) Vieira, Renata La Rocca [UNIFESP]; Faintuch, Salomão [UNIFESP]; Goldman, Suzan Menasce [UNIFESP]; Ajzen, Sergio Aron [UNIFESP]; Szejnfeld, Jacob [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The most important diagnostic sign of ureterolithiasis is the direct visualization of the stone within the ureter. However, in some patients with ureterolithiasis stone visualization may be impaired due to stone small size or low attenuation, respiratory artifacts between data acquisitions, low amount of retroperitoneal fat or recent elimination of the stone. In this context, we describe many secondary computed tomography signs of ureteral obstruction that may useful in the diagnosis of inconclusive cases, and also quantify the degree of urinary obstruction.