Association of Clinical Signs and Symptoms with Abnormal Urinalysis Findings of Blunt Trauma Patients; a Cross-Sectional Study

Autor: Bahram Zarmehri, Ayeh Shouman, Elham Pishbin, Niaz-Mohammad Jafari Chokan, Mona Najaf Najafi, Seyed Reza Habibzadeh, Esmaeil Rayat Dost, Mahdi Foroughian
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Archives of Academic Emergency Medicine, Vol 7, Iss 1 (2019)
Druh dokumentu: article
ISSN: 2645-4904
DOI: 10.22037/aaem.v7i1.419
Popis: Introduction: Urinalysis (UA) is performed routinely as a diagnostic screening test for trauma patients in most centers. This study aimed to examine the relationship between patients’ clinical signs and symptoms with UA findings. Methods: This cross-sectional study was carried out on multiple trauma patients between 18 to 65 years old, who were referred to the Emergency Department. UA was performed for all patients and its association with clinical signs and symptoms (pain, tenderness, abrasion, ecchymosis, hematoma, etc.) in abdomen, back, flank, and inferior hemi-thorax was evaluated.Results: 640 patients with the mean age of 39.8 ± 11.2 years were studied (65.0% males). 271 (42.4%) cases had associated injuries and 554 (86.6%) cases had at least one sign or symptom of trauma in abdomen, back, flank or inferior hemi-thorax. 146 (22.8%) patients had negative UA. Among cases with positive UA, 364 (56.9%) cases had microscopic hematuria with RBC < 25/HPF, 60 (9.4%) had microscopic hematuria with RBC ≥ 25/HPF and 70 (10.9%) had gross hematuria. None of the asymptomatic patients had microscopic hematuria with RBC ≥ 25/HPF and gross hematuria (p
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