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A Spectrum of Urological Emergency Reported at a Tertiary Care Teaching Hospital: An Experience

2015; JCDR Research and Publications Private Limited; Linguagem: Inglês

10.7860/jcdr/2015/15793.6821

2249-782X

Shyam Manoharlal Talreja, Indraneel Banerjee, Ramdayal Teli, Neeraj Agarwal, Nachiket Vyas, Shivam Priyadarshi, SherSingh Yadav, Vinay Tomar,

Autopsy Techniques and Outcomes

Emergency cases are not frequent in urology specialty compared to other surgical fields, yet they pose a challenge as and when they are faced [1].However, emergency cases constitute a sizeable proportion of urology cases at our tertiary care institution.Urological cross references from other departments of the institute further increases the emergency case load.The common presentation of emergency urology cases is retention of urine [2] but their lie geographic variations in the distribution of urological emergencies and hence the present study was undertaken to analyse the different urological presentations of emergency cases and their necessary interventions. Study ObjectIveS1) To estimate the proportion of urological emergencies out of all emergencies reported at the center.2) To describe the different types of urological emergencies reported and their required management. MAterIALS And MetHOdSThis hospital based observational descriptive study was done in the Department of Urology, SMS Hospital Jaipur.This hospital is the largest tertiary referral center in the state with wide catchment area.There were 35,35,639 Outpatient Department (OPD), 3,31,931 Inpatient Department (IPD), nearly 4,36,220 emergency IPD patients and 2,86,433 number of operations done at this centre in the year 2013.Although being a tertiary referral teaching hospital, direct urological emergency admissions are also entertained on regular basis.The number of emergency admissions are out of proportion of available beds.So it is the true reflection of urological emergencies which are being faced by physicians on regular basis.Total 2,345 urological emergencies that reported directly to emergency department and 5310 emergency referral within hospital for urological cross consultations were considered for the study.Patient data enlisting age, sex, referral status, clinical presentation, duration of hospital stay and management provided were collected from patient records on Arogya online registered referral system.This is an advanced hospital management system connected to mobile network of doctors and staff for faster communication and timely care of patients.It also facilitates maintenance of patient records for future references and data analysis .