Investigating Ureteric Colic: are the BAUS guidelines feasible?
BAUS ePoster online library. Brown A. Jun 25, 2019; 265258; CU-5
Mr. Andrew Brown
Mr. Andrew Brown
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Abstract
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The lifetime prevalence of urinary tract calculi is 13%. As the incidence of urolithiasis associated hospital episodes increases the associated healthcare and socioeconomic burden increases propor-tionally (Heers and Turney, 2016). Prompt diagnosis and management of ureteric calculi aims to improve patient satisfaction and quality of life.
The aim of this audit was to evaluate our initial investigation and symptomatic management of pa-tients with suspected ureteric colic. The standard chosen was the 2018 British Association of Uro-logical Surgeons (BAUS) guidelines (Tsiotras et al., 2017).
All patients with suspected ureteric colic with a computed tomography of the kidney ureter bladder (CT-KUB) organised by A&E, were included. Data was collected retrospectively between January - February 2018. The audit cycle was completed in July - August 2018 following introduction of an updated ureteric colic pathway.
120 patients were included in the initial audit and 164 during re-audit. The overall average time to CT-KUB improved by 8 hours. Time to CT-KUB was significantly longer if patients were sent home to await an out-patient scan. The number of patients with serum calcium and urate measurement was poor in both the initial audit and second cycle (7.5% and 15% respectively) as was NSAID us-age (32% and 23%). Only a small proportion of patients were prescribed medical expulsive therapy.
The time to CT-KUB improved, although the average time is still outside the 14 hours recommend-ed by BAUS. Mitigating factors may include difficulty contacting patients and prioritising clinical workload.

Introduction
Urolithiasis has a lifetime incidence of 13% and poses a significant burden to the healthcare sys-tem. The number of patients admitted to hospital with ureteric calculi has increased by 4.4% be-tween 2010 and 2015 and on average 85,000 patients present per annum (Heers and Turney, 2016). 130 deaths per year are attributed to urolithasis, with an average i
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