Obstruction / Occlusion, Calcifications / Calculi, Screening, Audit and standards, CT, Urinary Tract / Bladder
K. M. B. Mohd Amin1, J. Graham2; 1Wellington/NZ, 2Palmerston North/NZ
Renal colic is a common clinical presentation in emergency department. CT KUB is widely used as the preferred imaging investigation for ED patients with suspected renal colic in concordance with BAUS, ACEM and NICE guidelines.4, 7, 8
Although the estimated effective dose of CT KUB is relatively low, it carries the burden of radiation exposure to patients. It is imperative to ensure appropriate use of CT KUB in achieving necessary diagnostic information without exposing patients to excessive radiation through overuse.
The audit aims to assess appropriate use of CT KUB in a specific cohort of patients in this instituition by reviewing the following:
- diagnostic yield of urolithiasis
- rate of significant alternative diagnoses
- the rate of urological intervention in positive cases
It will allows evaluation of the practice of the institution and its adherence to current guidelines.