高齢者の尿路結石に関するSTONEと新しいSTONEスコアの検証: 遡及的なコホート研究
İbrahim Altundağ1, Mehmet Taylan Koçer2
1Department of Emergency Medicine, University of Health Sciences, Haydarpaşa Numune Training and Research Hospital, Selimiye, Tıbbiye Cd No:23, Üsküdar, 34668, Istanbul, Turkey. dr.ibrahimaltundag@gmail.com.
Urolithiasis
|August 31, 2025
まとめ
STONEとNew STONEのスコアは,高齢者の尿路石を正確に検出します. これらのツールは 横の痛みのある高齢者の CTスキャンや医療費を 減らすのに役立ちます
科学分野:
- 泌尿器科
- 放射線科
- 高齢者医療
背景:
- 尿路結石は緊急診療の頻繁な原因ですが,高齢者の非典型的な症状は,診断方法の改善を必要とします.
- 世界の人口の高齢化により 患者の治療成果を向上させ 放射線を最小限に抑え 費用を抑えられるような 効果的な低リスクの診断戦略が 必要とされています
研究 の 目的:
- 60歳以上の側頭痛患者における尿道石の検出のためのSTONEとNew STONEスコアの診断性能を評価する.
- 高齢者のコホートにおけるこれらのスコアシステムの精度を比較する.
主な方法:
- 2020年1月から2024年12月までの間,腹部コンピュータトモグラフィー (CT) を受けた60歳以上の患者161人を対象とした遡及コホート研究.
- 感度,特異性,曲線下の面積 (AUC) を含むSTONEおよびNew STONEスコアを使用して診断性能の分析.
主要な成果:
- 尿路石は患者の48. 4%で検出されました.
- 結石患者では,STONEとNew STONEのスコアが著しく高かった (p < 0. 001).
- 両方のスコアは信頼性の高い精度を示した (STONE AUC: 0.830,New STONE AUC: 0.829),STONEは感受性を好み,New STONEは特異性を好む.
結論:
- STONEとNew STONEのスコアは,高齢者の尿路石の診断に有効なツールです.
- これらのスコア付けシステムは 意思決定のイメージングを助け,老人の不必要なCTスキャンと関連する医療費を減らすことができます.
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