Clinical trial NCT06515379: Emergency Department Management of Patients With Renal Infarction
Official title: Emergency Department Management of Patients With Renal Infarction
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Renal Infarct
Renal Infarction - Venous
Renal Infarction - Arterial
Keywords: Renal Infarction
Emergency Department
Lead sponsor: Saglik Bilimleri Universitesi
Sponsor class: OTHER
Collaborators: name: Diskapi Teaching and Research Hospital
First posted: 2024-07-23
Enrollment: 80
Sex: ALL
Minimum age (years): 18
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: patients administered to emergency department and diagnosed with renal infarction will be retrospectively determined from hospital data system.

Brief summary: The aim of this study is to investigate laboratory parameters from medical records of patients diagnosed with renal infarction in our emergency clinic to establish early diagnostic indicators. Additionally, we will evaluate imaging methods such as CT or CT angiography and identify mortality-morbidity markers to contribute to the literature.

Detailed description: It is planned to include 80 patients who presented to the hospital emergency department and were diagnosed with renal infarction between January 1, 2014, and June 1, 2023, in the study.

he data of patients diagnosed with renal infarction will be retrospectively collected from the hospital database and recorded in a data collection form. This includes information such as CBC (complete blood count), neutrophils, lymphocytes, platelets, lactate, anion gap, pH, bicarbonate, creatinine, urea, AST, ALT, fibrinogen, D-dimer, LDH, CRP, CT scan, and CT angiography results. Patients' demographic characteristics, physical examination findings, imaging, and laboratory results will be evaluated using patient records and the hospital registry system.

Our aim is to identify early morbidity and mortality indicators in cases of renal infarction where diagnosis is often delayed or missed, contributing to the survival of patients. We believe that the findings from our statistical analysis can guide routine practice, especially in the management of patients presenting to the emergency department with complaints of abdominal and/or flank pain

Eligibility criteria: Inclusion criteria:

Adult patients aged 18 years and older Cases diagnosed with renal infarction presenting to the Emergency Department of Dışkapı Yıldırım Beyazıt Training and Research Hospital

Exclusion criteria:

Patients without imaging methods Patients with incomplete laboratory and file follow-ups Patients previously diagnosed with renal infarction and currently under treatment Patients diagnosed with other clinical conditions such as pyelonephritis, lower urinary tract infections, nephrolithiasis

Primary outcomes:
measure: Renal Infarction
timeFrame: 9 years
Secondary outcomes:
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Diskapi Teaching and Research Hospital
state: Altindag
Study officials:
affiliation: ass. prof. of organization
name: gulsen akcay, ass. prof.
role: STUDY_DIRECTOR
References:
citation: Delezire A, Terrasse M, Bouet J, Laot M, Brun V, Oger E, Vigneau C. Acute renal infarction: long-term renal outcome and prognostic factors. J Nephrol. 2021 Oct;34(5):1501-1509. doi: 10.1007/s40620-020-00953-4. Epub 2021 Mar 25.
citation: Francisco D, Pimenta G, Martins AC, Laranjinha I, Estibeiro H, Gil C, Goncalves M, Gaspar MA. Recovering from a renal vascular catastrophe: Case report. Clin Nephrol Case Stud. 2023 Mar 5;11:44-49. doi: 10.5414/CNCS110984. eCollection 2023.
citation: Woo S, Lee CA, Lee JW, Moon J, Cho YS, Nah S, Han S. Predictors for Distinguishing Renal Infarction From Urolithiasis in the Emergency Department: A Randomly Matched Retrospective Case-Control Study. J Emerg Med. 2023 Jan;64(1):31-39. doi: 10.1016/j.jemermed.2022.10.009. Epub 2023 Jan 12.