The diagnosis of kidney stones is made on the basis of information obtained from the history, physical examination, urinalysis, and radiographic studies. Often, stones form when the urine becomes concentrated, allowing minerals to crystallize and stick together. People with certain medical conditions, such as gout, and those who take certain medications or supplements are at risk for kidney stones. According to a study published online in Academic Emergency Medicine.
Charles D. Scales Jr., M.D., from the Duke University School of Medicine in Durham, N.C., and colleagues analyzed data from all patients in California initially treated and released from emergency departments for kidney stones from February 2008 through November 2009. The authors sought to identify associations between patient-level characteristics, area health care resources, processes of care, and the risk of repeat emergency department visits.
The researchers found that among 128,564 patients discharged from emergency care, 11% had at least 1 additional emergency visit for treatment of their kidney stone, with nearly 1 in 3 of these patients requiring hospitalization or an urgent temporizing procedure at the second visit.
On multivariable analysis, the risk of an emergency revisit was associated with insurance status (e.g., Medicaid versus private insurance; odds ratio [OR], 1.52). Greater access to urologic care was associated with lower odds of an emergency revisit (highest versus lowest quartile OR, 0.88). Performance of a complete blood count was also associated with decreased odds of revisit (OR, 0.86).
"Efforts are indicated to identify preventable causes of emergency department revisits for kidney stone patients and design interventions to reduce the risk of high-cost, high-acuity, repeat care," the authors write.
If you have any questions, you can contact us kidneyhospitalabroad@hotmail.com. or you can contact us online doctor. We will reply within 24 hours.
Charles D. Scales Jr., M.D., from the Duke University School of Medicine in Durham, N.C., and colleagues analyzed data from all patients in California initially treated and released from emergency departments for kidney stones from February 2008 through November 2009. The authors sought to identify associations between patient-level characteristics, area health care resources, processes of care, and the risk of repeat emergency department visits.
The researchers found that among 128,564 patients discharged from emergency care, 11% had at least 1 additional emergency visit for treatment of their kidney stone, with nearly 1 in 3 of these patients requiring hospitalization or an urgent temporizing procedure at the second visit.
On multivariable analysis, the risk of an emergency revisit was associated with insurance status (e.g., Medicaid versus private insurance; odds ratio [OR], 1.52). Greater access to urologic care was associated with lower odds of an emergency revisit (highest versus lowest quartile OR, 0.88). Performance of a complete blood count was also associated with decreased odds of revisit (OR, 0.86).
"Efforts are indicated to identify preventable causes of emergency department revisits for kidney stone patients and design interventions to reduce the risk of high-cost, high-acuity, repeat care," the authors write.
If you have any questions, you can contact us kidneyhospitalabroad@hotmail.com. or you can contact us online doctor. We will reply within 24 hours.
Doc, Chukwu Madu herbal home. You are so great sir, I am cured from HIV/AIDS Virus through the help of your mighty herbs. It happened as you said, you never let me down sir I was tested HIV/aids Negative 5 days ago right here in my Country same hospital that tested me positive some months ago. I didn't accept at the first time you saved me from death Sir DR CHUKWU MADU HERBAL HOME, with your herbs.Thank you so much sir. If you are going through any of this virus or infection reach this great herbalist on his personal email:[ dr.chukwumaduherbalhome@gmail.com ] or WhatsApp him via +2347030936239. He will save you.
ReplyDeleteThanks: my name 'DUNURAI WAYAN' From CHINA