984 Evaluation of Calcium and Urate Level Testing on Patients for the Acute Stone List Surgery

Aim Is to assess compliance with the newly implemented protocol for requesting calcium and urate levels at the initial patient presentation in an Accident & Emergency / Urgent Treatment Centre setting, who were managed either conservatively or with ureteric stent insertion, prior to undergoing laser fragmentation of renal stones in preparation for the acute stone list. Background Ensuring comprehensive pre-operative assessments, including calcium and urate level checks, is vital in the management of patients with renal colic symptoms or infective obstructed urinary systems. Following the initiation of the acute stone list, a standard protocol was introduced in the urology department to standardize this process. Method This single-cycle audit reviewed the records of 51 patients listed on the acute stone list from the commencement of the initiative. The focus was on determining whether these patients had their calcium and urate levels checked at the time of their surgery. Results Calcium Testing: Of the 51 patients, 27 (52.94%) had undergone calcium testing at presentation, while 24 (47.06%) had not. Urate Testing: 23 patients (45.10%) had their urate levels tested, compared to 28 patients (54.90%) who did not receive this test. The target is 100% compliance in all patients on the acute stone list, should have had these test by time of procedure Conclusions This audit underscores the importance of strict adherence to pre-operative testing protocols for patients on the acute stone list. Improved compliance, especially in urate level testing, is essential for optimizing patient outcomes and the overall success of surgical interventions.