Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/6475
Title: Hospital cost analysis of management of patients with renal colic in the emergency department
Authors: Türkçüer, İbrahim
Serinken, Mustafa
Karcioglu, O.
Zencir, Mehmet
Keysan, M.Kemal
Keywords: Cost analysis
Emergency department
Hospital cost
Renal colic
Urolithiasis
diclofenac
nonsteroid antiinflammatory agent
opiate
pethidine
adult
article
computer assisted tomography
cost benefit analysis
cost control
disease severity
echography
emergency care
emergency ward
female
health care cost
hospital cost
human
kidney colic
major clinical study
male
priority journal
renography
retrospective study
ureter stone
urinalysis
urolithiasis
Adolescent
Adult
Colic
Costs and Cost Analysis
Emergency Service, Hospital
Female
Hospital Costs
Humans
Kidney Diseases
Male
Middle Aged
Retrospective Studies
Young Adult
Abstract: Acute severe colicky pain in the flank region is termed as renal colic (RC), which is commonly diagnosed and treated in the emergency department (ED). The present study is designed to investigate the hospital costs of patients with RC admitted to the ED and factors affecting the figures. Retrospective analysis includes all patients diagnosed with RC following physical examination and X-ray, ultrasound, computed tomography together with laboratory investigations in the university-based ED between February 2007 and February 2009. The study included 574 patients eligible for the predefined criteria. Mean total hospital cost in patients admitted to the ED due to RC was calculated to be 55.77 Euro. The greatest contribution to the total cost was made by radiological investigations in the ED (40.5%) followed by treatment costs (19.7%). Size and location of the stone and stay times in the ED were the independent variables affecting the costs. The costs were higher as the stones were bigger and as they were more distal in the ureter. Renal stones were associated with the lowest hospital costs. Radiological investigations are the greatest contributors in the ED costs in patients with RC. Effective measures need to be undertaken to reduce resultant costs. Preventive measures as well as diagnostic and therapeutic procedures should be standardized in the ED in accordance with technological advances and also cost-effectiveness when appropriate. © 2009 Springer-Verlag.
URI: https://hdl.handle.net/11499/6475
https://doi.org/10.1007/s00240-009-0251-z
ISSN: 0300-5623
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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