The comparison of the relationship between haematuria severity and analgesia in renal colic patients

Abstract

Objective: Patients with Renal colic attack are usually admitted to hospital due to single-sided, sharp and sudden localised pain. 90% of patients have haematuria. Some analgesics might be used alone or in combination. This study was conducted to establish the relationship between haematuria severity determined in renal colic patients admitted to the ED and the efficacy of intramuscular (IM) non-steroid analgesic application.Material and Methods: The study was carried out prospectively in the Emergency Department. A total of 87 out of the possible 106 patients were included in the study. Pain severity was measured in accordance with the "Visual Analogue Scale" (VAS). Urine samples from patients were first evaluated macroscopically and then microscopically after being centrifuged to determine Erythrocyte count/hpf (high power field). VAS pain severity of patients who received 75 mg/3 mL Diclofenac sodium IM as an analgesic was measured and recorded at the time of admission; the measurements were repeated 20, 30 and 45 minutes after the analgesic was given.Results: When the score differences were examined between VAS values at the time of admission of patients and at 20, 30, and 45 mins after analgesia, a significantly positive correlation was found between haematuria severity and analgesic efficacy (p=0.003, r=0.311).Conclusion: If there is intensive or red colour anamnesis in patients presenting to the ED who are likely to be diagnosed as renal colic, the initial application of IM non-steroid analgesic may provide better pain palliation and increase patient comfort.