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Volume : 08, Issue : 01, January – 2021
119.TO COMPARE THE DIAGNOSTIC ACCURACY OF STONE SCORE AND CHOKAI SCORE IN PREDICTING THE PROBABILITY OF URETERAL STONES IN PATIENTS PRESENTING WITH FLANK PAIN BY TAKING CT SCAN AS A GOLD STANDARD IN EMERGENCY DEPARTMENT
Dr Muhammad Shoaib, Dr Harris Hussain Qureshi, Pardeep, Dr Riaz Laghari, Dr Sunil Kumar, Dr Syed Rafi Uddin Shah
Abstract :
Introduction: Ureteric colic (also known as renal colic) is a common reason for presentation to emergency departments (ED). Stone formation in the urinary tract affects about 5–10% of the population in industrialized countries and ureteric colic accounts for approximately 0.6% of total ED visits.
Objective: To compare the diagnostic accuracy of STONE score and CHOKAI score in predicting the probability of ureteral stones in patients presenting with flank pain by taking CT Scan as a gold standard in emergency department.
Study Settings: Emergency Department, Sindh Institute of Urology & Transplant (SIUT).
Duration: 17 Jan, 2019 to 16 July, 2019.
Study Design: This was a Cross Sectional study.
Subject and Methods: After including the patients in study, patients were divided in to two groups through lottery method. Patients in Group A were subjected to STONE score and patients in Group B were subjected to CHOKAI score. Patients having STONE score >8 were labeled as having ureteral stones. While for CHOKAI score, a score of >6 were used to label the ureteral stones. All the study patients underwent CT scanning for confirmation of diagnosis of ureteral stones.
RESULTS: As per findings on Chokai Score, 64 (18.23%) patients had ureteric stones. As per findings on stone score, 40 (11.36%) patients had ureteric stones. As per findings on CT Scan, 80 (22.79%) were dignosed for ureteric stones. As per diagnostic accuracy of chokai score, sensitivity was 44.44%, specificity was 48.57%, PPV was 18.23%, NPV was 77.21% and accuracy was 47.72%. As per diagnostic accuracy of stone score, sensitivity was 33.33%, specificity was 46.56%, PPV was 11.40%, NPV was 77.21% and accuracy was 44.30%.
CONLCUSION: As per our results, we have come to the conclusion that the use of the STONE clinical score validates patients as low, moderate, and high risk for ureteral stone.
Keywords: Ureteric Colic, Chokai Score, Stone Score, CT Scan
Cite This Article:
Please cite this article in press Muhammad Shoaib et al, To compare the diagnostic accuracy of STONE score and CHOKAI score in predicting the probability of ureteral stones in patients presenting with flank pain by taking CT Scan as a gold standard in emergency department., Indo Am. J. P. Sci, 2021; 08(1).