Authors: Dor Golomb, Amit Shemesh, Hanan Goldberg, Ben Shalom, Eyal Hen, Eyal Barkai, Fahed Atamna, Haitham Abu Nijmeh, Amir Cooper, Orit Raz

Publication date: 2022/10/8

Journal: Urologia Journal

Pages: 03915603221126756

Publisher: SAGE Publications

:Description

• Objectives
  To examine differences in the presentation, management, and outcomes of patients admitted to the emergency department (ED) with ureteral stones, with prior history of urolithiasis compared to patients with a first stone event.
• Patients and methods
  Retrospective analysis of patients who visited the ED that were found to have a ureteral stone on CT. Patients were stratified into two groups: without history of urolithiasis (Group 1) and with history of urolithiasis (Group 2).
• Results
  Between 2018 and 2020, 778 patients were admitted with ureteral stones. Patients in group 1 presented with a higher mean serum creatinine (p = 0.02), larger mean stone size (p < 0.0001), and a higher proportion of proximal ureteral stones (p < 0.0001) than patients in group 2. The 30 day readmission rate was significantly higher in group 1 (p = 0.02). Spontaneous stone expulsion was higher in group 2 (p < 0.0001 …