The prospective evaluation of the effectiveness of scoring systems in the emergency department in cases with suspected ureteral stones: STONE? CHOKAI?

The American Journal of Emergency Medicine
Suna Eraybar, Melih Yuksel

Abstract

This study evaluates the effectiveness of CHOKAI and STONE scores in patients presenting to the emergency department with ureteral stones. Patients over the age of 18 who were admitted to the emergency department with flank pain, groin pain, scrotal pain, and hematuria and who were performed non-contrast abdominal computed tomography (CT) for diagnostic imaging were included. The numeric pain, CHOKAI, and STONE scores of the patients were calculated. The effectiveness of these scoring systems in the presence of stones was examined. A total of 105 patients were included in the study. In the analysis performed to investigate whether there was a difference between the numeric pain, STONE, and CHOKAI scores in terms of the presence of stones on CT, it was seen that the CHOKAI score was significantly different from the others (p < 0.001). A significant positive correlation was found between the CHOKAI score and stone size (r = 0.343, p < 0.001).When the cut-off value of the CHOKAI score was >7, the sensitivity was found to be 60.49%, and specificity was 83.33%. The cut-off value for the STONE score was >8 with a sensitivity of 70.37% and specificity of 58.33%. The corresponding area under curve values for the CHOHAI and STONE scores...Continue Reading

References

Jun 22, 2017·The American Journal of Emergency Medicine·Hiroki FukuharaNorihiko Tsuchiya
Jul 7, 2017·Archivio italiano di urologia, andrologia : organo ufficiale [di] Società italiana di ecografia urologica e nefrologica·Hakan Türk, Sıtkı Ün
Feb 28, 2018·Journal of Endourology·Sachin YallappaOmar M Aboumarzouk
Jun 15, 2019·The American Journal of Emergency Medicine·Muhammed İkbal Sasmaz, Vedat Kirpat
Jul 25, 2019·The American Journal of Emergency Medicine·Hiroki FukuharaNorihiko Tsuchiya
Nov 17, 2020·Journal of Clinical Imaging Science·Goni Merhav, Nira Razi

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