Impact of COVID‐19 pandemic on patients with obstructing urinary stones complicated by infection

Objective To assess the influence of COVID‐19‐imposed life changes on presentation and outcomes of patients with obstructing urinary stones complicated by infection. Patients and methods All patients presenting with obstructing urinary stones and infection 1 year before the pandemic (March 2019 to F...

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Published in:BJUI compass 2022-07, Vol.3 (4), p.298-303
Main Authors: Herzberg, Haim, Savin, Ziv, Lasmanovich, Rinat, Marom, Ron, Ben‐David, Reuben, Mano, Roy, Yossepowitch, Ofer, Sofer, Mario
Format: Article
Language:English
Subjects:
Age
Blood
calculi
Confidence intervals
COVID-19
Emergency medical care
Heart rate
Hospitalization
Hospitals
infection
Infections
Intensive care
Kidney diseases
Kidney stones
Microscopy
obstruction
Original
Pandemics
Patients
Regression analysis
Sepsis
To the Clinic
Tomography
ureter
Urine
Variables
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cited_by cdi_FETCH-LOGICAL-c5045-6117347116f81cd151d50d4c0d030a7c092e64840c11d389ef0b29a6923882fa3
cites cdi_FETCH-LOGICAL-c5045-6117347116f81cd151d50d4c0d030a7c092e64840c11d389ef0b29a6923882fa3
container_end_page 303
container_issue 4
container_start_page 298
container_title BJUI compass
container_volume 3
creator Herzberg, Haim
Savin, Ziv
Lasmanovich, Rinat
Marom, Ron
Ben‐David, Reuben
Mano, Roy
Yossepowitch, Ofer
Sofer, Mario
description Objective To assess the influence of COVID‐19‐imposed life changes on presentation and outcomes of patients with obstructing urinary stones complicated by infection. Patients and methods All patients presenting with obstructing urinary stones and infection 1 year before the pandemic (March 2019 to February 2020; n = 66) and 1 year since its onset (March 2020 to February 2021; n = 45) were enrolled. Demographics, clinical presentation, laboratory panel, stone characteristics and outcomes were compared between groups. Univariate and multivariate logistic regression models were performed for analysis. Results The COVID‐19 period was characterised by younger patients, female predominance, higher temperature at presentation and more bilateral obstructing stones (p 
doi_str_mv 10.1002/bco2.145
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Patients and methods All patients presenting with obstructing urinary stones and infection 1 year before the pandemic (March 2019 to February 2020; n = 66) and 1 year since its onset (March 2020 to February 2021; n = 45) were enrolled. Demographics, clinical presentation, laboratory panel, stone characteristics and outcomes were compared between groups. Univariate and multivariate logistic regression models were performed for analysis. Results The COVID‐19 period was characterised by younger patients, female predominance, higher temperature at presentation and more bilateral obstructing stones (p &lt; 0.05). The admission rate to intensive care units was double that of the pre‐pandemic period, whereas time between diagnosis and treatment was similar. The univariate analysis revealed higher rates of severe sepsis (odds ratio [OR] = 3, p = 0.01), systemic inflammatory response syndrome (SIRS) ≥ 2 (OR = 2.9, p = 0.01) and risk, injury, failure, loss of kidney function and end‐stage kidney (RIFLE) criteria ≥ 1 (OR = 2.2, p = 0.04) in the pandemic period group. The multivariate analyses revealed the COVID‐19 period as being the sole variable associated with severe sepsis (OR = 3.1, p = 0.02), SIRS ≥ 2 (OR = 3.8, p = 0.005) and RIFLE ≥ 1 (OR = 2.6, p = 0.05). Conclusions The pandemic period was characterised by a worse clinical state at presentation of patients with obstructing urinary stones complicated by infection, probably reflecting delay in arrival to emergency services.</description><identifier>ISSN: 2688-4526</identifier><identifier>EISSN: 2688-4526</identifier><identifier>DOI: 10.1002/bco2.145</identifier><identifier>PMID: 35783587</identifier><language>eng</language><publisher>United States: John Wiley &amp; Sons, Inc</publisher><subject>Age ; Blood ; calculi ; Confidence intervals ; COVID-19 ; Emergency medical care ; Heart rate ; Hospitalization ; Hospitals ; infection ; Infections ; Intensive care ; Kidney diseases ; Kidney stones ; Microscopy ; obstruction ; Original ; Pandemics ; Patients ; Regression analysis ; Sepsis ; To the Clinic ; Tomography ; ureter ; Urine ; Variables</subject><ispartof>BJUI compass, 2022-07, Vol.3 (4), p.298-303</ispartof><rights>2022 The Authors. published by John Wiley &amp; Sons Ltd on behalf of BJU International Company.</rights><rights>2022 The Authors. BJUI Compass published by John Wiley &amp; Sons Ltd on behalf of BJU International Company.</rights><rights>2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5045-6117347116f81cd151d50d4c0d030a7c092e64840c11d389ef0b29a6923882fa3</citedby><cites>FETCH-LOGICAL-c5045-6117347116f81cd151d50d4c0d030a7c092e64840c11d389ef0b29a6923882fa3</cites><orcidid>0000-0003-3855-0211 ; 0000-0001-9346-0871</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2890093863/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2890093863?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11562,25753,27924,27925,37012,37013,38516,43895,44590,46052,46476,53791,53793,74412,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35783587$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Herzberg, Haim</creatorcontrib><creatorcontrib>Savin, Ziv</creatorcontrib><creatorcontrib>Lasmanovich, Rinat</creatorcontrib><creatorcontrib>Marom, Ron</creatorcontrib><creatorcontrib>Ben‐David, Reuben</creatorcontrib><creatorcontrib>Mano, Roy</creatorcontrib><creatorcontrib>Yossepowitch, Ofer</creatorcontrib><creatorcontrib>Sofer, Mario</creatorcontrib><title>Impact of COVID‐19 pandemic on patients with obstructing urinary stones complicated by infection</title><title>BJUI compass</title><addtitle>BJUI Compass</addtitle><description>Objective To assess the influence of COVID‐19‐imposed life changes on presentation and outcomes of patients with obstructing urinary stones complicated by infection. Patients and methods All patients presenting with obstructing urinary stones and infection 1 year before the pandemic (March 2019 to February 2020; n = 66) and 1 year since its onset (March 2020 to February 2021; n = 45) were enrolled. Demographics, clinical presentation, laboratory panel, stone characteristics and outcomes were compared between groups. Univariate and multivariate logistic regression models were performed for analysis. Results The COVID‐19 period was characterised by younger patients, female predominance, higher temperature at presentation and more bilateral obstructing stones (p &lt; 0.05). The admission rate to intensive care units was double that of the pre‐pandemic period, whereas time between diagnosis and treatment was similar. The univariate analysis revealed higher rates of severe sepsis (odds ratio [OR] = 3, p = 0.01), systemic inflammatory response syndrome (SIRS) ≥ 2 (OR = 2.9, p = 0.01) and risk, injury, failure, loss of kidney function and end‐stage kidney (RIFLE) criteria ≥ 1 (OR = 2.2, p = 0.04) in the pandemic period group. The multivariate analyses revealed the COVID‐19 period as being the sole variable associated with severe sepsis (OR = 3.1, p = 0.02), SIRS ≥ 2 (OR = 3.8, p = 0.005) and RIFLE ≥ 1 (OR = 2.6, p = 0.05). 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Patients and methods All patients presenting with obstructing urinary stones and infection 1 year before the pandemic (March 2019 to February 2020; n = 66) and 1 year since its onset (March 2020 to February 2021; n = 45) were enrolled. Demographics, clinical presentation, laboratory panel, stone characteristics and outcomes were compared between groups. Univariate and multivariate logistic regression models were performed for analysis. Results The COVID‐19 period was characterised by younger patients, female predominance, higher temperature at presentation and more bilateral obstructing stones (p &lt; 0.05). The admission rate to intensive care units was double that of the pre‐pandemic period, whereas time between diagnosis and treatment was similar. The univariate analysis revealed higher rates of severe sepsis (odds ratio [OR] = 3, p = 0.01), systemic inflammatory response syndrome (SIRS) ≥ 2 (OR = 2.9, p = 0.01) and risk, injury, failure, loss of kidney function and end‐stage kidney (RIFLE) criteria ≥ 1 (OR = 2.2, p = 0.04) in the pandemic period group. The multivariate analyses revealed the COVID‐19 period as being the sole variable associated with severe sepsis (OR = 3.1, p = 0.02), SIRS ≥ 2 (OR = 3.8, p = 0.005) and RIFLE ≥ 1 (OR = 2.6, p = 0.05). Conclusions The pandemic period was characterised by a worse clinical state at presentation of patients with obstructing urinary stones complicated by infection, probably reflecting delay in arrival to emergency services.</abstract><cop>United States</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>35783587</pmid><doi>10.1002/bco2.145</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-3855-0211</orcidid><orcidid>https://orcid.org/0000-0001-9346-0871</orcidid><oa>free_for_read</oa></addata></record>
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source Publicly Available Content Database; Wiley Open Access; PubMed Central; Coronavirus Research Database
subjects Age
Blood
calculi
Confidence intervals
COVID-19
Emergency medical care
Heart rate
Hospitalization
Hospitals
infection
Infections
Intensive care
Kidney diseases
Kidney stones
Microscopy
obstruction
Original
Pandemics
Patients
Regression analysis
Sepsis
To the Clinic
Tomography
ureter
Urine
Variables
title Impact of COVID‐19 pandemic on patients with obstructing urinary stones complicated by infection
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