Background: We aimed to determine the importance of urinary biochemical parameters in predicting the severity of COVID-19 disease. Methods: Totally 133 individuals diagnosed with COVID-19 in our clinic were included in the study. The groups were formed according to the severity of COVID-19 disease (moderate 85, severe 29, and critical 19), and an additional control group was created from 50 healthy individuals. The correlation between urine biochemical parameters and the severity of disease was investigated. Results: Erythrocyturia, proteinuria, and glucosuria rates were significantly higher in patients than controls. In patients, the median urine specific gravity (SG) value was found to be lower (p<0.001), and median potential of hydrogen (pH) value was found to be higher compared to the controls (p<0.001). In the severe group age, erythrocyturia, proteinuria, and glucosuria were significantly higher than the non-severe group. On multivariate analysis, proteinuria (OR: 4.66, 95%CI 1.02-21.4, p=0.047) and age (OR: 1.06, 95% CI 1.03-1.10, p<0.001) were independent predictive factors for disease severity. Conclusion: Some urine biochemical parameters especially proteinuria and advanced age may be useful for predicting the COVID-19 disease severity.
Aim: We aimed to present the patients who had COVID-19 infiltrations incidentally detected in the lung basal sections in patients with abdomen CT due to flank pain in the urology outpatient clinic during the pandemic process. Methods: A total of 276 patients admitted to the Siirt Training and Research Hospital Urology outpatient clinic between March 15, 2020, and August 09, 2020, with a complaint of flank pain and underwent non-contrast abdomen CT were analyzed from this data retrospectively. A total of 10 patients with Covid-19 compatible findings in CT were determined as the study group. A control group was formed from 10 patients with only urological pathologies (kidney stones, ureteral stones, hydronephrosis … etc) without Covid-19 compatible appearance on CT. Results: Ten (3.6%) patients with COVID-19 disease pneumonic infiltrations were detected in the lung basal regions entering the abdomen CT cross-section. The visual analog scale (VAS) score was higher in the control group, who had urological pathology and did not have Covid-19 findings in the lung bases in abdominal CT, and it was statistically significant. During the admission to the urology outpatient clinic, there were no signs of COVID-19 disease such as fever, cough, and shortness of breath. Conclusion: If the severity of pain is not very high in patients who apply to urology outpatient clinics with flank pain during the pandemic period, and if no urological pathology is observed in the Abdomen CT, Covid-19 should be kept in mind in the differential diagnosis.