Evaluation of modified STONE score in patients presenting to the emergency department with flank pain

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dc.authoridKorkut, Mustafa/0000-0003-1665-1601
dc.authoridbedel, cihan/0000-0002-3823-2929
dc.contributor.authorUzun, Ahmet
dc.contributor.authorKorkut, Mustafa
dc.contributor.authorKartal, Mutlu
dc.contributor.authorBedel, Cihan
dc.date.accessioned2024-09-29T16:08:28Z
dc.date.available2024-09-29T16:08:28Z
dc.date.issued2020
dc.departmentKarabük Üniversitesien_US
dc.description.abstractPurpose: Renal colic due to urinary system stone disease is one of the main complaints in emergency department (ED) admissions. The STONE score is the most used model. The race item in the nomogram is not useful for communities where the Black race is not dominant. Therefore, we aimed at investigating the diagnostic value of a new modified scoring system, in which we replaced the race item in the original nomogram by obstruction = pelvicalyceal dilation. Materials and Methods: The study included patients who were admitted to a tertiary university ED with flank pain and underwent ultrasonography (US) from June 2017 to November 2017. Patients' demographic data such as US findings and the STONE score parameters were recorded. Obstruction (pelvicalyceal dilation) replaced the race item of the original STONE score. The diagnostic value of the modified system was investigated by categorizing the scores as low risk (0-5 points), moderate risk (6-9 points), and high risk (10-13). Results: The study included 305 patients who met the inclusion criteria. The mean age was 39.45 +/- 13.83 years, and 170 patients (55.7%) were male. Pelvicalyceal dilation was detected on US at a statistically significantly higher percentage in patients with stones compared to stone-free patients (P < 0.001). The modified STONE score was statistically significantly higher in patients with stones compared to stone-free patients (P < 0.001). Conclusion: We suggest that the replacement of the race parameter of the original STONE score by the US finding of pelvicalyceal dilation will enhance the diagnostic value of scoring in societies mostly comprising a non-Black population.en_US
dc.identifier.doi10.4103/UROS.UROS_32_20
dc.identifier.endpage225en_US
dc.identifier.issn1879-5226
dc.identifier.issn1879-5234
dc.identifier.issue5en_US
dc.identifier.startpage221en_US
dc.identifier.urihttps://doi.org/10.4103/UROS.UROS_32_20
dc.identifier.urihttps://hdl.handle.net/20.500.14619/7564
dc.identifier.volume31en_US
dc.identifier.wosWOS:000587922400006en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofUrological Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEmergency departmenten_US
dc.subjectrenal colicen_US
dc.subjectSTONE scoreen_US
dc.titleEvaluation of modified STONE score in patients presenting to the emergency department with flank painen_US
dc.typeArticleen_US

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