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Women at increasing risk of kidney stones, related ER visits
Date:8/26/2013

better diagnostic tools that allow for a more precise diagnosis. We use a CT scan, which is a quick test that allows for an immediate diagnosis and is available in every emergency department.

"Better diagnosis may be contributing to our findings that patients are not being admitted to the hospital as frequently as they had in the past.

Also, medication can help with the spontaneous passage of these stones. As a result, some of these patients may be safely managed through the outpatient system with follow-up visits."

For those who do get admitted to the hospital, the study showed that the highest likelihood was related to sepsis, or blood infection, which can sometimes occur when the stone causes a blockage and urinary tract infection.

Most notably, in 2009, the charges for emergency department visits rose to $5 billion in 2009 from $3.8 billion dollars in 2006.

"One of the possible reasons for the increase in charges is the use of a CT scan to diagnose a kidney stone," Dr. Ghani says.

"Fifteen years ago, around 5-10 percent of patients visiting the emergency department for a kidney stone would get a CT scan. Today, 70 percent of patients who visit the emergency department get a scan. While they're wonderful tools of technology that allow an accurate diagnosis, they are expensive," says Dr. Ghani.


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Contact: Dwight Angell
Dwight.Angell@hfhs.org
313-876-8709
Henry Ford Health System
Source:Eurekalert

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