BACKGROUND No known data in the literature assessing practice of kidney stone prevention in the emergency department (ED) is available. OBJECTIVES Assess patient perception and compliance to kidney stone prevention given within the emergency department. It also indirectly detects the attitude and practice patterns of primary care providers in kidney stone prevention. MATERIALS AND METHODS This is a qualitative study done in a single institution from January 2018 to January 2019 that includes 99 patients that were diagnosed with kidney or ureteral stone in ED and were discharged home, all of them where stone formers. They were asked to fill a self- administered questionnaire when they are able to read, or interviewed by the resident within the ED when they are unable to read. RESULTS The majority of patients (68%) did not receive any instructions about kidney stones prevention within the ED. Most of patients who follow instructions if it was given were educated (90%), had an insurance coverage (85%), and had an income higher than $1000 per month (76%), (p < 0.05). Seventy one percents of patients believe in the effectiveness of stone prevention if it was provided and most of them are interested in learning about these preventive strategies (82%). Reasons for not following the instructions about kidney stones prevention measures were the cost (53.1%) following by the lack of explanation by ED physicians (18.8%). The majority of patients (62.6%) prefer to receive kidney stones prevention measures from urologists. CONCLUSION Most of patients in our institute did not receive kidney stones prevention measures in ED despite that they declared their interest in following these measures. Most of the time they did not adhere to those measures due to socioeconomic factors and lack of clarifications. If these instructions were given within the ED, it could lead to an acceptable compliance rate.

中文翻译：

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急诊科患者对肾结石预防的认识及其依从性：一项机构研究。

背景技术在评估急诊科（ED）的肾结石预防实践的文献中，尚无已知数据。目的评估急诊科内患者对肾结石预防的认识和依从性。它还间接检测初级保健提供者在肾结石预防中的态度和实践模式。材料与方法这是一项于2018年1月至2019年1月在单一机构中进行的定性研究，包括99名经ED诊断为肾脏或输尿管结石并出院的患者，所有患者均为结石形成者。当他们能够阅读时，要求他们填写一份自我管理的调查表，或者当他们无法阅读时，由急诊科内的居民进行采访。结果大多数患者（68％）未在急诊科内接受任何有关预防肾结石的指示。接受指导的大多数患者（90％）受过教育（90％），有保险（85％），并且每月收入超过1000美元（76％），（p <0.05）。如果提供结石预防，则有71％的患者相信结石预防的有效性，其中大多数人有兴趣了解这些预防策略（82％）。不遵循有关肾结石预防措施说明的原因是由于急诊医师缺乏解释（18.8％）而导致的费用（53.1％）。大多数患者（62.6％）更喜欢从泌尿科医师那里接受预防肾结石的措施。结论尽管研究所表示有兴趣采取这些措施，但我们研究所的大多数患者并未在ED中接受肾脏结石预防措施。由于社会经济因素和缺乏说明，大多数时候他们不遵守这些措施。如果这些说明是在急诊部内给出的，则可能会导致可接受的合规率。