Quality of Acute Care for Patients With Urinary Stones in the United States.

ABSTRACT:

Objective

To describe guideline adherence for patients with suspected upper tract stones.

Patients and methods

We performed a cross-sectional analysis of visits recorded by the National Hospital Ambulatory Medical Care Survey (emergency department [ED] component) in 2007-2010 (most recent data). We assessed adherence to clinical guidelines for diagnostic laboratory testing, imaging, and pharmacologic therapy. Multivariable regression models controlled for important covariates.

Results

An estimated 4,956,444 ED visits for patients with suspected kidney stones occurred during the study period. Guideline adherence was highest for diagnostic imaging, with 3,122,229 (63%) visits providing optimal imaging. Complete guideline-based laboratory testing occurred in only 2 of ev

SUBMITTER: Scales CD 

PROVIDER: S-EPMC5453307 | biostudies-literature | 2015 Nov

REPOSITORIES: biostudies-literature