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- Title
Eficacia de una vía de alta resolución en la evaluación del cólico renoureteral no complicado en un servicio de urgencias hospitalario: un ensayo clínico aleatorizado (Estudio STONE).
- Authors
Yale Tung Chen; Rodríguez Fuertes, Pablo; Oliver Sáez, Paloma; Villén Villegas, Tomás; Soto, Antonio Buño; Fernández Calle, Pilar; Carballo Cardona, César; Cobo Mora, Julio; Jaén Cañadas, Milagros; Hoi Yan Tong; Borobia, Alberto M.
- Abstract
Objectives. To evaluate a fast-track pathway utilizing point-of-care (POC) testing and sonography as soon as uncomplicated renal or ureteral colic is suspected and to compare the POC clinical pathway to a standard one. Methods. Unblinded randomized controlled clinical trial in a hospital emergency department (ED). We enrolled patients with suspected uncomplicated renal or ureteral colic and randomized them to a POC or standard pathway (1:1 ratio). Duration of ED stay, treatments, the proportion of diagnoses other than uncomplicated colic, and 30-day complications were analyzed. Results. One hundred forty patients were recruited between November 2018 and October 2019; data for 124 were analyzed. The mean (SD) total time in the ED was 112 (45) minutes in the POC arm and 244 (102) in the standard arm (P < .001). Treatments, alternative diagnoses, and complication rates did not differ. Conclusion. The use of a fast-track POC pathway to manage uncomplicated colic in the ED is effective and safe. It also reduces the amount of time spent in the ED.
- Subjects
KIDNEY stone prevention; LENGTH of stay in hospitals; HOSPITAL emergency services; KIDNEYS; KIDNEY stones; PATIENT safety; STATISTICAL sampling; SURGICAL complications; URINARY calculi; POINT-of-care testing; RANDOMIZED controlled trials; TREATMENT effectiveness
- Publication
Emergencias, 2021, Vol 33, Issue 1, p23
- ISSN
1137-6821
- Publication type
Article