Stone disease is a unique condition that requires appropriate management in a timely manner as it can result in both emergent conditions and long term effects on kidney functions. In this study it is aimed to identify the up-to-date practice patterns related to preoperative evaluation and anesthesia for stone disease interventions during COVID-19 pandemic. The data of 473 patients from 11 centers in 5 different countries underwent interventions for urinary stones during the Covid-19 pandemic was collected and analyzed retrospectively. Information on the type of the stone related conditions, management strategies, anesthesiologic evaluation, anesthesia methods, and any alterations related to COVID-19 pandemic was collected. During the preoperative anesthesia evaluation thorax CT was performed in 268 (56.7%) and PCR from nasopharyngeal swab was performed in 31 (6.6%) patients. General anesthesia was applied in 337 (71.2%) patients and alteration in the method of anesthesia was recorded in 45 (9.5%) patients. A cut-off value of 21 days was detected for the hospitals to adapt changes related to COVID-19. Rate of preoperative testing, emergency procedures, conservative approaches and topical/regional anesthesia increased after 21 days. The preoperative evaluation for management of urinary stone disease is significantly affected by COVID-19 pandemic. There is significant alteration in anesthesia methods and interventions. The optimal methods for preoperative evaluation are still unknown and there is discordance between different centers. It takes 21 days for hospitals and surgeons to adapt and develop new strategies for preoperative evaluation and management of stones.

中文翻译：

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COVID-19大流行如何影响术前评估和麻醉性输尿管结石？EULIS eCORE-IAU多中心协作队列研究。

结石病是一种独特的疾病，需要及时进行适当的处​​理，因为它既会导致突发疾病，又会对肾脏功能产生长期影响。在这项研究中，目的是确定与COVID-19大流行期间石病干预措施的术前评估和麻醉有关的最新实践模式。回顾性分析了Covid-19大流行期间来自5个不同国家/地区的11个中心的473例尿结石患者的数据。收集有关结石的相关类型，治疗策略，麻醉学评估，麻醉方法以及与COVID-19大流行有关的任何改变的信息。在术前麻醉评估中，在268例中进行了胸部CT检查（56。7％），并在31例（6.6％）患者中进行了鼻咽拭子PCR。337例（71.2％）患者采用了全身麻醉，而45例（9.5％）患者采用了麻醉方法的改变。为适应与COVID-19相关的变化，医院检测到的临界值为21天。21天后，术前测试，急诊程序，保守治疗和局部/区域麻醉的比率增加。COVID-19大流行对尿路结石疾病的术前评估有很大影响。麻醉方法和干预措施有重大改变。术前评估的最佳方法仍然未知，不同中心之间存在不一致。