Document Detail


Should all patients with ureteric colic be admitted?
MedLine Citation:
PMID:  8540666     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A two-part study was undertaken to determine if all patients with uncomplicated ureteric colic require admission. The analgesic requirements and outcome in 31 patients admitted with ureteric colic were assessed; 20/31 (64%) required no further analgesia after admission and 8/31 (26%) required only oral/rectal analgesia. In the second part of the study a protocol was introduced allowing patients with no complicating factors to be discharged directly from the A&E department. Of 58 patients seen in the A&E department, 29 were discharged for outpatient follow-up. Of these patients, 19 required no additional acute hospital treatment, five returned for further parenteral analgesia but outside the time they would have stayed in hospital under our previous protocol (ie beyond 48 h) and three returned within 48 h of their first attendance with pain which had not responded to oral analgesics. No patient discharged from A&E subsequently required intervention for obstruction or infection. We conclude that it is not necessary to admit patients with uncomplicated ureteric colic if the initial colic has been relieved and there is adequate social support.
Authors:
S B Morris; S J Hampson; E M Gordon; R J Shearer; C R Woodhouse
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  77     ISSN:  0035-8843     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  1995 Nov 
Date Detail:
Created Date:  1996-02-08     Completed Date:  1996-02-08     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  450-2     Citation Subset:  IM    
Affiliation:
St George's Hospital, London.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Clinical Protocols
Colic / therapy*
Emergency Service, Hospital / statistics & numerical data*
Humans
Middle Aged
Patient Admission / statistics & numerical data*
Ureteral Diseases / therapy*
Comments/Corrections
Comment In:
Ann R Coll Surg Engl. 1996 May;78(3 ( Pt 1)):233   [PMID:  8779520 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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