Evaluation of patients admitted to the emergency department with the suspect of acute renal colic with the modified STONE score

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dc.authorid0000-0003-2641-3965
dc.contributor.authorGüllüpınar, Birdal
dc.contributor.authorAyvat, Pınar
dc.contributor.authorÜnlüer, Erden Erol
dc.contributor.authorKoran, Serhat
dc.date.accessioned2022-08-31T13:28:43Z
dc.date.available2022-08-31T13:28:43Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Aile Hekimliği Ana Bilim Dalı
dc.description.abstractAim: Renal colic pain is one of the most common agonizing forms of pain that is frequently treated in emergency departments. Computed tomography (CT), which is used for the detection of kidney stones, is a costly application. Therefore, scoring systems that predict stone have been developed. This study was conducted to investigate the diagnostic accuracy of the Modified STONE Score (MSS) to predict stones. Materials and Methods: Among those who applied to the emergency department with renal colic pain, patients with CT were examined. Three hundred and thirty-seven patients included in the study were divided into two groups as those with and without kidney stones. It was examined whether there was a difference between these two groups in terms of personal, seasonal, laboratory findings and MSS. Results: We found that ureteral stone history, pain duration less than 6 hours, presence of hematuria and nausea/vomiting, C-reactive protein (CRP) value below 0.5 mg/dL, The MSS above 9, age <= 50 years were factors that increase stone. The MSS was significantly high in the stone-detected group. When the STONE score is calculated for all patients and divided into three groups (low, moderated, and high modified STONE scores), the prevalence of ureteral stones increases towards the high MSS group. Conclusion: We found that the modified STONE score was quite successful in predicting ureteral stones. We determined that emergency physicians can diagnose stones using this score and avoid unnecessary CT. The diagnostic value of this score may increase when nausea/ vomiting factor is added.
dc.identifier.citationGüllüpınar, B., Ayvat, P., Ünlüer, E. E. ve Koran, S. (2022). Evaluation of patients admitted to the emergency department with the suspect of acute renal colic with the modified STONE score. Eurasian Journal of Emergency Medicine, 21(2), 138-145. https://doi.org/10.4274/eajem.galenos.2021.44711
dc.identifier.doi10.4274/eajem.galenos.2021.44711
dc.identifier.endpage145
dc.identifier.issn2149-5807
dc.identifier.issn2149-6048
dc.identifier.issue2
dc.identifier.startpage138
dc.identifier.trdizinid531605
dc.identifier.urihttps://doi.org/10.4274/eajem.galenos.2021.44711
dc.identifier.urihttps://hdl.handle.net/20.500.12511/9671
dc.identifier.volume21
dc.identifier.wos000837749600010en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorKoran, Serhat
dc.language.isoen
dc.publisherEmergency Medicine Physicians Association of Turkey
dc.relation.ispartofEurasian Journal of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectModified STONE Score
dc.subjectUrinary Tract Stones
dc.subjectEmergency Departments
dc.titleEvaluation of patients admitted to the emergency department with the suspect of acute renal colic with the modified STONE score
dc.typeArticle

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