Publication: Study on Acute Renal Colic and Comparison of Diclofenac and Ketorolac in Pain Management in University Hospital, Kavre, Nepal
Date
2019
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Acute renal colic is the most frequent clinical presentations of renal stone and
a common cause of patient visits to emergency departments worldwide. The
prevalence of the renal stone disease has increased steadily over the past decades.
Objective
To describe the prevalence, epidemiological features and clinical management of
renal colic patients at emergency department in Kathmandu University Hospital,
Kavre, Nepal.
Method
Two hundred and thirty-six patients with acute renal colic presented in emergency
department during a six-months period were included in the study. Using a standard
predesigned proforma, demographic characteristics, presenting symptoms, practice
of pain management and outcome were investigated. Renal colic attacks in patients
were defined according to International Classification of Diseases, Tenth Revision,
and Clinical Modification-10.
Result
Prevalence of renal colic was 2.61%. Mean age of the patients was 33.9±13.7 years.
More than half of participants were male (54%). Majority of the patients (47.9%)
were from Kavrepalanchowk district. The most common presenting symptom of the
patients was flank pain on affected side (79.2%). In almost 43% of patients, diclofenac
sodium was administered as a first line analgesic. There was no significant difference
between diclofenac and ketolorac with respect to the need of second line analgesic
(Chi-square value: 0.19, p value = 0.664).
Conclusion
Prevalence of renal colic was 2.61% at Dhulikhel hospital. More male pateints were
affected and the most common presenting symptom was flank pain on the affected.
Diclofenac and ketorolac are equally effective for the pain management of renal colic
patients.
KEY WORDS
Diclofenac, Emergency department, Epidemiology, Renal colic
Description
Shrestha SK,1 Parajuli S,1 Nyaupane SP,1 Joshi HN2
1Department of Emergency and General Practice,
2Department of Surgery,
Dhulikhel Hospital, Kathmandu University Hospital
Dhulikhel, Kavre, Nepal
Keywords
Diclofenac, Emergency department, Epidemiology, Renal colic