Ultrasound at the patient’s bedside for the diagnosis and prognostication of a renal colic

Abstract Background Diagnosing a ureteral colic is sometimes difficult; however, clinicians should not fail to detect a surgical emergency. This is why diagnostic strategies depend on the imaging examinations, especially ultrasound. Prior studies have investigated the accuracy of Point of Care Ultra...

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Autores principales:	Jean-Eudes Bourcier, Emeric Gallard, Jean-Philippe Redonnet, Morgan Abillard, Quentin Billaut, Laura Fauque, Anna Jouanolou, Didier Garnier
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/2f930c00e5be4525b6fada6d4eb11d01
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spelling	oai:doaj.org-article:2f930c00e5be4525b6fada6d4eb11d012021-11-28T12:26:00ZUltrasound at the patient’s bedside for the diagnosis and prognostication of a renal colic10.1186/s13089-021-00246-22524-8987https://doaj.org/article/2f930c00e5be4525b6fada6d4eb11d012021-11-01T00:00:00Zhttps://doi.org/10.1186/s13089-021-00246-2https://doaj.org/toc/2524-8987Abstract Background Diagnosing a ureteral colic is sometimes difficult; however, clinicians should not fail to detect a surgical emergency. This is why diagnostic strategies depend on the imaging examinations, especially ultrasound. Prior studies have investigated the accuracy of Point of Care Ultrasound (PoCUS), but there are relatively few. This study aimed to evaluate the performance of the PoCUS in the diagnosis of renal colic. The secondary objective was to evaluate the relationship between the imaging results and the treatment performed. Methods After the clinical evaluation of patients aged > 18 years with suspected ureteral colic, the Emergency Physician (EP) trained in ultrasound performed PoCUS to conclude whether a diagnosis of “renal colic” should be made. A computed tomography (CT) examination was subsequently performed, to determine whether ureteral or bladder lithiasis was present to diagnose a ureteral colic. The patient’s management was decided according to the to degree of urinary tract dilatation, presence of perinephric fluid, size, and localization of stones. Results Of the 12 Eps in our units, seven met the training criteria for the inclusion of patients. A total of 103 patients were analyzed, and the renal colic diagnosis was retained in 85 cases after the CT examination. The accuracy of PoCUS was 91% (86; 95%) for detecting urinary tract dilatation, 83% (76; 90%) for detecting perinephric fluid, and 54% (44; 64%) for detecting lithiasis. Only high urinary tract stones with ≥ 6 mm diameter were surgically managed (p < 0.01). Conversely, distal ureteral stones with a diameter of < 6 mm were managed with medical ambulatory treatment (p < 0.05). Conclusion PoCUS is a good diagnostic tool, for renal colic, and could help reduce the requirement for the CT examinations and, hence, reduce induced radiation exposure.Jean-Eudes BourcierEmeric GallardJean-Philippe RedonnetMorgan AbillardQuentin BillautLaura FauqueAnna JouanolouDidier GarnierSpringerOpenarticleMedical physics. Medical radiology. Nuclear medicineR895-920ENThe Ultrasound Journal, Vol 13, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Medical physics. Medical radiology. Nuclear medicine R895-920 Jean-Eudes Bourcier Emeric Gallard Jean-Philippe Redonnet Morgan Abillard Quentin Billaut Laura Fauque Anna Jouanolou Didier Garnier Ultrasound at the patient’s bedside for the diagnosis and prognostication of a renal colic
description	Abstract Background Diagnosing a ureteral colic is sometimes difficult; however, clinicians should not fail to detect a surgical emergency. This is why diagnostic strategies depend on the imaging examinations, especially ultrasound. Prior studies have investigated the accuracy of Point of Care Ultrasound (PoCUS), but there are relatively few. This study aimed to evaluate the performance of the PoCUS in the diagnosis of renal colic. The secondary objective was to evaluate the relationship between the imaging results and the treatment performed. Methods After the clinical evaluation of patients aged > 18 years with suspected ureteral colic, the Emergency Physician (EP) trained in ultrasound performed PoCUS to conclude whether a diagnosis of “renal colic” should be made. A computed tomography (CT) examination was subsequently performed, to determine whether ureteral or bladder lithiasis was present to diagnose a ureteral colic. The patient’s management was decided according to the to degree of urinary tract dilatation, presence of perinephric fluid, size, and localization of stones. Results Of the 12 Eps in our units, seven met the training criteria for the inclusion of patients. A total of 103 patients were analyzed, and the renal colic diagnosis was retained in 85 cases after the CT examination. The accuracy of PoCUS was 91% (86; 95%) for detecting urinary tract dilatation, 83% (76; 90%) for detecting perinephric fluid, and 54% (44; 64%) for detecting lithiasis. Only high urinary tract stones with ≥ 6 mm diameter were surgically managed (p < 0.01). Conversely, distal ureteral stones with a diameter of < 6 mm were managed with medical ambulatory treatment (p < 0.05). Conclusion PoCUS is a good diagnostic tool, for renal colic, and could help reduce the requirement for the CT examinations and, hence, reduce induced radiation exposure.
format	article
author	Jean-Eudes Bourcier Emeric Gallard Jean-Philippe Redonnet Morgan Abillard Quentin Billaut Laura Fauque Anna Jouanolou Didier Garnier
author_facet	Jean-Eudes Bourcier Emeric Gallard Jean-Philippe Redonnet Morgan Abillard Quentin Billaut Laura Fauque Anna Jouanolou Didier Garnier
author_sort	Jean-Eudes Bourcier
title	Ultrasound at the patient’s bedside for the diagnosis and prognostication of a renal colic
title_short	Ultrasound at the patient’s bedside for the diagnosis and prognostication of a renal colic
title_full	Ultrasound at the patient’s bedside for the diagnosis and prognostication of a renal colic
title_fullStr	Ultrasound at the patient’s bedside for the diagnosis and prognostication of a renal colic
title_full_unstemmed	Ultrasound at the patient’s bedside for the diagnosis and prognostication of a renal colic
title_sort	ultrasound at the patient’s bedside for the diagnosis and prognostication of a renal colic
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/2f930c00e5be4525b6fada6d4eb11d01
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Ultrasound at the patient’s bedside for the diagnosis and prognostication of a renal colic

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