ArticleOpen access emergency medicine : OAEM2017
A renal colic fast track pathway to improve waiting times and outcomes for patients presenting to the emergency department.
Article in Open access emergency medicine : OAEM, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Barriers in Managing Acute Ureteric Colic Clinical Review and Commentary.Research and reports in urology · 2022Review
- The Use of Visual Analogue Scale Score as a Predicting Tool in Differentiating Renal Colic From Lumbar Back Pain.Cureus · 2021Article
- Implementation of a Ureteric Colic Telemedicine Service: A Mixed Methods Quality Improvement Study.Urology · 2021Article
- Urinary Stone Detection on CT Images Using Deep Convolutional Neural Networks: Evaluation of Model Performance and Generalization.Radiology. Artificial intelligence · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionRenal colic is commonly encountered in the emergency department (ED). We validated a fast track renal colic (FTRC) initiative to decrease patient waiting times and streamline patient flow.
methodThe FTRC pathway was devised according to the National Institute for Health and Care Excellence clinical summary criteria for the management of patients with suspected renal colic. ED triage nurses use the pathway to identify patients with likely renal colic suitable for fast track to analgesia, investigation and management. Investigations, diagnosis and patient demographics were recorded for 1157 consecutive patients coded as renal colic at a single-center ED over 12 months.
resultsThree hundred and two patients were suitable for the FTRC pathway (26.1%), while 855 were seen by the ED clinicians prior to onward referral. Also, 83.9% of patients underwent computed tomography scan. In the FTRC group, 57.3% of patients had radiologically confirmed calculi versus 53.8% in the non-FTRC group (
conclusionThe FTRC pathway is a safe and efficacious method of reducing diagnostic delay and improving patient flow in the ED.
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Registered trials
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