Navegando por Palavras-chave "Renal colic"
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- ItemAcesso aberto (Open Access)Anxiety and depression symptoms in recurrent painful renal lithiasis colic(Associação Brasileira de Divulgação Científica, 2007-07-01) Diniz, Denise Helena de Madureira Pará [UNIFESP]; Blay, Sergio Luis [UNIFESP]; Schor, Nestor [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Several studies have reported that symptoms of anxiety and depression are significantly associated with diseases characterized by painful crises. However, there is little information about the psychological aspects of recurrent painful episodes of renal stone disease. Our objective was to evaluate the association of symptoms of anxiety, depression and recurrent painful renal colic in a case-control study involving 64 subjects (32 cases/32 controls) matched for age and sex. Cases were outpatients with a confirmed diagnosis of nephrolithiasis as per their case history, physical examination, image examination and other laboratory exams. Patients had a history of at least two episodes within a 3-year period, and were currently in an intercrisis interval. The control group consisted of subjects seen at the Ophthalmology Outpatient Clinic of this University Hospital with only eye refraction symptoms, and no other associated disease. Symptoms of anxiety were evaluated by the State-Trait Anxiety Inventory and symptoms of depression by the Beck Depression Inventory. Statistically significant differences were observed between patients with nephrolithiasis and controls for anxiety state (P = 0.001), anxiety trait (P = 0.005) and symptoms of depression (odds ratio = 3.74; 95%CI = 1.31-10.62). The Beck Depression Inventory showed 34.5% of respondents with moderate and 6% with severe levels of depression. There was a significant linear correlation between symptoms of anxiety (P = 0.002) and depression (P < 0.001) and the number of recurrent colic episodes (anxiety-state: P = 0.016 and anxiety-trait: P < 0.001). These data suggest an association between recurrent renal colic and symptoms of both anxiety and depression.
- ItemAcesso aberto (Open Access)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 SamaritanoBACKGROUND 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.