Haydarpasa Numune Med J. 2020; 60(1): 10-15 | DOI: 10.14744/hnhj.2018.33254

Renal kolik insidansýnýn mevsim, cinsiyet ve yaþla iliþkisi: Kesitsel çalýþma

Aytaç Sahin¹, Ahmet Urkmez², Çaðlar Yildirim³, Serkan Akan⁴, Dogu Guner¹, Ozgur Haki Yuksel^5
1Fatih Sultan Mehmet Eðitim ve Araþtýrma Hastanesi, Uroloji Kliniði, Istanbul
²Haydarpasa Numune Eðitim ve Araþtýrma Hastanesi, Uroloji Kliniði, Istanbul
³Mardin Devlet Hastanesi, Uroloji Kliniði, Mardin
⁴Sultan Abdülhamid Han Eðitim ve Araþtýrma Hastanesi, Uroloji Kliniði, Istanbul
⁵Bahçeþehir Üniversitesi, Uroloji Kliniði, Istanbul

GÝRÝÞ ve AMAÇ: Biz bu çalýþmada meteorolojik deðiþikliklerin acil servislere baþvuran renal kolik hasta sayýsýnda etkili olup olmadýðýný, ayrýca bu etkinin cinsiyet ve yaþ ile deðiþkenlik gösterip göstermediðini araþtýrdýk.
YÖNTEM ve GEREÇLER: Ocak 2017 ve Aralýk 2017 tarihleri arasýnda Fatih Sultan Mehmet Eðitim ve Araþtýrma Hastanesi acil týp kliniðine renal kolik þikayetiyle baþvuran 5661 hasta International Classification for Diseases- 10 (ICD 10) N23 (renal kolik) kodu ile retrospektif olarak tarandý. Renal kolik tanýsý acil týp hekimlerince konuldu ve tedavi edildi. Aylara göre ortalama sýcaklýk ve nem deðerleri T.C. Orman ve Su Ýþleri Bakanlýðý Meteoroloji Genel Müdürlüðünden alýnmýþtýr.
BULGULAR: Çalýþma, yaþlarý 2 ile 91 arasýnda deðiþmekte olan, 3344’ü (%59.1) erkek ve 2317’si (%40.9) kadýn olmak üzere toplam 5661 olgu ile yapýlmýþtýr. Olgularýn muayene yaþlarý ortalamasý 41.58±14.63’dür. Mevsimler arasýnda olgularýn muayene yaþlarý ortalamalarý açýsýndan istatistiksel olarak anlamlý farklýlýk bulunmaktadýr (p: 0.001; p<0.05). Farklýlýðýn tespiti için yapýlan ikili karþýlaþtýrmalar sonucunda; Yaz mevsimindeki olgularýn muayene yaþý ortalamalarý, Kýþ (p: 0.001), Ýlkbahar (p: 0.001) ve Sonbahar (p: 0.045) mevsimlerindeki olgularýn ortalamalarýndan istatistiksel olarak anlamlý düzeyde düþük bulunmuþtur (p<0.05).
TARTIÞMA ve SONUÇ: Çalýþmamýzda meteorolojik parametrelerin renal kolik geliþimi üzerine etkileri olduðunu ve bu etkinin hastanýn yaþýna ve cinsiyetine göre deðiþkenlik gösterdiðini saptadýk. Özellikle sýcak aylarda erkek hastalarýn kadýnlara göre muhtemel hormonal mekanizmalardan dolayý dehidratasyona daha duyarlý olduðunu ve dolayýsýyla bu hastalarda renal kolik insidansýnýn yüksek olmasý nedeniyle sývý alýmýnýn arttýrýlmasý dehidrate kalmamasý önerilir.

Anahtar Kelimeler: Renal kolik, mevsim, yaþ, cinsiyet, meteorolojik deðiþkenler

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Correlation of Renal Colic Incidences with the Season, Gender and Age: Cross-Sectional Study

Aytaç Sahin¹, Ahmet Urkmez², Çaðlar Yildirim³, Serkan Akan⁴, Dogu Guner¹, Ozgur Haki Yuksel^5
1Department of Urology, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey
²Department of Urology, Health Sciences University, Hamidiye Faculty of Medicine, Haydarpasa Numune Health Application and Research Center, Istanbul, Turkey
³Department of Urology, Mardin State Hospital, Mardin, Turkey
⁴Department of Urology, Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
⁵Department of Urology, Bahcesehir University, Istanbul, Turkey

INTRODUCTION: In the present study, we researched whether meteorological changes affect the number of renal colic patients admitted to the hospital emergency department and whether this effect varies with gender and age.
METHODS: In this study, 5661 patients admitted to the emergency medicine clinic of Fatih Sultan Mehmet Training and Research Hospital between the dates of January 2017 and December 2017 with renal colic complaints were retrospectively scanned with International Classification for Diseases- 10 (ICD 10) N23 (renal colic) code. Renal colic was diagnosed and treated by emergency medicine physicians. Average temperature and humidity values according to months were acquired from the Republic of Turkey Ministry of Forestry and Water Affairs General Directorate of Meteorology.
RESULTS: This study was conducted with a total number of 5661 cases between the ages of 2 and 91. 3344 (59.1%) of the patients were male, and 2317 (40.9%) were female. The average examination age of the cases was 41.58±14.63. There was a statistically significant difference between the seasons in terms of the examination ages of the cases (p=0.001). As a result of the dual comparisons, the average examination age of the cases in the summer season was found to be lower at a statistically significant level than the averages of the cases in Winter (p=0.001), Spring (p=0.001) and Fall (p=0.045) seasons (p<0.05).
DISCUSSION AND CONCLUSION: In our study, we detected that meteorological parameters have an effect on renal colic development, and this effect varies according to the age and gender of the patient. Especially in the warmer months, male patients are more sensitive towards dehydration than female patients, probably due to the hormonal mechanisms, so the renal colic incidence is higher in these patients. Thus, the suggestion is to increase fluid intake and not to stay dehydrated.

Keywords: Age, gender; meteorological parameters; renal colic; season.

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