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Objective <p>To create a scoring system that predicts re-admissions within the first 30 days of patients presenting to the emergency department with renal colic and ureteral stones.</p> Materials and methods <p>This study enrolled patients who presented to the emergency department with symptoms of ureteral stones between January 2024 and June 2025. Individuals who required immediate hospitalization or intervention during their initial admission were excluded. After applying the exclusion criteria, a total of 415 eligible patients were analyzed. Those who returned to the emergency department within 30&#xa0;days of their first visit were identified, and participants were categorized into two groups accordingly.Statistically significant variables were incorporated into a logistic regression model, and the REVISIT-STONE (Renal Emergency VISIT Scoring Index for Triage of Stones) score was constructed based on the derived regression coefficient.</p> Results <p>40.7% of the patients (<i>n</i> = 167) re-admitted to the emergency department within 30 days. Multivariate analysis identified CRP ≥ 10 mg/L, urine leukocyte count ≥ 9/hpf, hydronephrosis grade ≥ 3, stone localization in the ureteropelvic junction (UPJ), and diabetes as significant predictors (<i>P</i> &lt; 0.05). The developed REVISIT-STONE score demonstrated high diagnostic accuracy with an AUC of 0.849 in ROC analysis. A cut-off value of 3 points yielded 71% sensitivity and 86.7% specificity.</p> Conclusion <p>The REVISIT-STONE score is an effective clinical tool for predicting the risk of early re-admission in patients presenting to the emergency department and discharged with ureteral stones. It can contribute to patient management by enabling early identification of at-risk patients. External validation of the score through multicenter, prospective studies is recommended.</p>

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A novel scoring system developed to predict emergency department re-attendance in patients with ureteral stones: The REVISIT-STONE score

  • 期刊论文

  • 发表日期：

    2026年3月28日

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  • Mürsel Koçer,
  • Ömer Faruk Akgün,
  • Hakan Anıl,
  • Ümit Uysal,
  • Umut Ünal,
  • Muhammed Semih Gedik,
  • Hakan Hakkoymaz,
  • Özge Anıl

摘要

Objective

To create a scoring system that predicts re-admissions within the first 30 days of patients presenting to the emergency department with renal colic and ureteral stones.

Materials and methods

This study enrolled patients who presented to the emergency department with symptoms of ureteral stones between January 2024 and June 2025. Individuals who required immediate hospitalization or intervention during their initial admission were excluded. After applying the exclusion criteria, a total of 415 eligible patients were analyzed. Those who returned to the emergency department within 30 days of their first visit were identified, and participants were categorized into two groups accordingly.Statistically significant variables were incorporated into a logistic regression model, and the REVISIT-STONE (Renal Emergency VISIT Scoring Index for Triage of Stones) score was constructed based on the derived regression coefficient.

Results

40.7% of the patients (n = 167) re-admitted to the emergency department within 30 days. Multivariate analysis identified CRP ≥ 10 mg/L, urine leukocyte count ≥ 9/hpf, hydronephrosis grade ≥ 3, stone localization in the ureteropelvic junction (UPJ), and diabetes as significant predictors (P < 0.05). The developed REVISIT-STONE score demonstrated high diagnostic accuracy with an AUC of 0.849 in ROC analysis. A cut-off value of 3 points yielded 71% sensitivity and 86.7% specificity.

Conclusion

The REVISIT-STONE score is an effective clinical tool for predicting the risk of early re-admission in patients presenting to the emergency department and discharged with ureteral stones. It can contribute to patient management by enabling early identification of at-risk patients. External validation of the score through multicenter, prospective studies is recommended.