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응급실을 내원한 요관결석 환자에서 크기가 5 mm 이상인 집단과 5 mm 미만인 집단 간의 임상적 특성과 neutrophil-lymphocyte ratio, platelet lymphocyte ratio, C-reactive protein의 비교

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Author(s)
Won Dong JeongWoo-Ik ChoiWonho JungDong Jin ParkYoung Jin SeoKyung Seop LeeJae Cheon Jeon
Keimyung Author(s)
Choi, Woo IkJung, Won HoJeon, Jae Cheon
Department
Dept. of Emergency Medicine (응급의학)
Dept. of Urology (비뇨의학)
Journal Title
대한응급의학회지
Issued Date
2021
Volume
32
Issue
5
Keyword
Ureteral calculiNeutrophil-to-lymphocyte ratioPlatelet-to-lymphocyte ratioC-reactive protein
Abstract
Objective:
The size and location of ureter stones are important factors in their spontaneous passage. We compared the clinical characteristics and neutrophil-lymphocyte ratio (NLR), platelet lymphocyte ratio (PLR), and C-reactive protein (CRP) of patients who visited the emergency department with ureter stones of ≥5 mm and <5 mm in size.

Method:
We retrospectively reviewed 699 patients who visited the emergency department of two medical centers from January 2017 to December 2019. We compared microscopic hematuria, pyuria, NLR, PLR, CRP, the grade of hydronephrosis, and the location of ureteral calculi between the two groups.

Results:
There were 419 patients with ureter stones less than 5 mm and 280 patients with stones more than 5 mm in size. NLR was 2.82 (1.44-4.73) and 3.12 (1.94-5.75) in patients with stones <5 mm and ≥5 mm, respectively (P=0.001). PLR was 117.2 (88.2-164.9) and 136.0 (98.9-199.7) in patients with stones <5 mm and ≥5 mm, respectively (P=0.001). CRP was 0.29 (0.29-0.29) and 0.29 (0.29-1.04) in patients with stones <5 mm and ≥5 mm, respectively (P<0.001). The proportion of microscopic hematuria was 84.7% and 76.4% in patients with stones <5 mm and ≥5 mm, respectively (P=0.006). The proportion of pyuria was 20.5% and 41.8% in patients with stones <5 mm and ≥5 mm, respectively (P=0.01).

Conclusion:
In patients with ureter stones ≥5 mm, CRP, NLR, and PLR were significantly higher than patients with ureter stones <5 mm. However, further studies are needed before using these indicators to make clinical decisions regarding ureteral stone management.
Alternative Title
Correlation between the size of the ureter stone and the neutrophil-lymphocyte ratio, platelet lymphocyte ratio, and C-reactive protein in patients with ureter stone visiting the emergency department
Keimyung Author(s)(Kor)
최우익
정원호
전재천
Publisher
School of Medicine (의과대학)
Citation
Won Dong Jeong et al. (2021). 응급실을 내원한 요관결석 환자에서 크기가 5 mm 이상인 집단과 5 mm 미만인 집단 간의 임상적 특성과 neutrophil-lymphocyte ratio, platelet lymphocyte ratio, C-reactive protein의 비교. 대한응급의학회지, 32(5), 394–399.
Type
Article
ISSN
2384-048X
Source
https://www.jksem.org/journal/view.php?number=2663
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43885
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학)
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
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