Eurasian Journal of Emergency Medicine

Evaluation of patients admitted to the emergency department with the suspect of acute renal colic with the modified stone score [JAEM]
JAEM. 9999; 0: 0-0 | DOI: 10.4274/eajem.galenos.44711  

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

Birdal Güllüpınar1, Pınar AYVAT2, Erden Erol Ünlüer1, Serhat Koran3
1Department of Emergency, University of Health Sciences Izmir Bozyaka Education And Research Hospital, Izmir, Turkey
2Department of Anesthesiology and Reanimation, School of Medicine, Izmir Democracy University, Izmir, Turkey
3Department of Family Medicine, School of Medicine, Istanbul Medipol University, Istanbul, Turkey

Aim: 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 to predict stones.
Materials and Methods: Among those who applied to the emergency department with renal colic pain, patients with CT were examined. 337 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 Modified STONE Score.
Results: We found that ureteral stone history, pain duration less than 6 hours, presence of hematuria and nausea/vomiting, CRP value below 0.5 mg/dL, The Modified STONE score above 9, age ≤50 years were factors that increase stone. The Modified STONE score 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 modified STONE scores 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.

Keywords: The Modified STONE Score, Urinary Tract Stones, Emergency Departments


Birdal Güllüpınar, Pınar AYVAT, Erden Erol Ünlüer, Serhat Koran. Evaluation of patients admitted to the emergency department with the suspect of acute renal colic with the modified stone score. JAEM. 9999; 0: 0-0

Corresponding Author: Pınar AYVAT, Türkiye


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