Publication:
Study on Acute Renal Colic and Comparison of Diclofenac and Ketorolac in Pain Management in University Hospital, Kavre, Nepal

creativeworkseries.issn1812-2027
dc.contributor.authorShrestha, SK
dc.contributor.authorParajuli, S
dc.contributor.authorNyaupane, SP
dc.contributor.authorJoshi, HN
dc.date.accessioned2025-11-26T06:36:08Z
dc.date.available2025-11-26T06:36:08Z
dc.date.issued2019
dc.descriptionShrestha 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
dc.description.abstractABSTRACT 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
dc.identifier.urihttps://hdl.handle.net/20.500.14572/3264
dc.language.isoen_US
dc.publisherKathmandu University
dc.subjectDiclofenac
dc.subjectEmergency department
dc.subjectEpidemiology
dc.subjectRenal colic
dc.titleStudy on Acute Renal Colic and Comparison of Diclofenac and Ketorolac in Pain Management in University Hospital, Kavre, Nepal
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage39
oaire.citation.startPage35
relation.isJournalIssueOfPublication72dd99d7-b8e8-4029-ae15-e344cbdb688b
relation.isJournalIssueOfPublication.latestForDiscovery72dd99d7-b8e8-4029-ae15-e344cbdb688b
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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