Epidemiological analysis of polytrauma patients with kidney injuries in a university hospital

Guareschi, B; Stahlschmidt, Carla Martinez Menini; Becker, Karin L.; Batista, Marianna Fergutz S.; Buso, Patricia Longhi; Bahten, Luiz Carlos Von

doi:10.1590/0100-69912015006006

Cited by 10 publications

(7 citation statements)

References 18 publications

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“…Contrary to our study, where blunt trauma was the most common cause (89.7%) of renal trauma, in a study by Guareschi et al [14] in Brazil, the most frequent mechanism was penetrating trauma, which amounted to 84.8%. However, Voelzke and Leddy found that 84% of renal traumas in adults and 89% of pediatric renal trauma were a result of blunt trauma, and more than 50% of traumas were due to motor vehicle accidents [15].…”

Section: Discussioncontrasting

confidence: 99%

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Renal trauma: a 5-year retrospective review in single institution

et al. 2020

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Background Renal trauma occurs in up to 5% of all trauma cases and accounts for 24% of abdominal solid organ injuries. Renal trauma management has evolved over the past decades, and current management is transitioning toward more conservative approaches for the majority of hemodynamically stable patients. The objective of this study was to analyze the mechanism of injury, management, and outcome in renal trauma. Methods Patients diagnosed with renal trauma in Makassar, Indonesia, from January 2014 to December 2018 were identified retrospectively by the ICD-10 code. Data were collected from medical records. Imaging was classified by radiologists. Variables analyzed included age, sex, mechanism of injury, degree of renal trauma, related organ injury, management, and outcome. Results Out of the 68 patients identified, the average age was 23.9 ± 0.6 years, and most were male (83.8%). Blunt trauma accounted for 89.7% of all cases. The most common renal injuries were grade IV (42.6%), and 14% of the cases had no hematuria. Most patients were treated with non-operative management (NOM). Nephrectomy was performed in 16.2% of cases, and 5.9% of cases underwent renorrhaphy. It was found that 58.8% of cases had isolated renal trauma, and the overall mortality rate (2.9%) was due to related injuries. Conclusions The majority of blunt and penetrating renal trauma cases that are hemodynamically stable have a good outcome when treated with NOM. The presence of injury in other important organs both intra- and extra-abdominally aggravates the patient’s condition and affects the prognosis.

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Section: Discussioncontrasting

confidence: 99%

“…The majority of patients in our study (83.8%) were male, and a similar situation can be found in other renal trauma studies [5,6,8,[14][15][16]. The age at admission was 23.9 ± 0.6 years (range = 5-61 years), and adolescents (age range 11-20 years) were the largest age group (30 cases).…”

Section: Discussionsupporting

confidence: 87%

Renal trauma: a 5-year retrospective review in single institution

et al. 2020

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“…The most common mechanism of injury involving the kidney is blunt trauma associated frequently to high-velocity deceleration (90% of cases); whereas penetrating trauma (gunshot and stab wounds occur in 1.4–3.3% [5, 16–18, 36]. However, these incidences depend on the geographic area of the world [37].…”

Section: Methodsmentioning

confidence: 99%

Kidney and uro-trauma: WSES-AAST guidelines

et al. 2019

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Renal and urogenital injuries occur in approximately 10-20% of abdominal trauma in adults and children. Optimal management should take into consideration the anatomic injury, the hemodynamic status, and the associated injuries. The management of urogenital trauma aims to restore homeostasis and normal physiology especially in pediatric patients where non-operative management is considered the gold standard. As with all traumatic conditions, the management of urogenital trauma should be multidisciplinary including urologists, interventional radiologists, and trauma surgeons, as well as emergency and ICU physicians.

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“…The rate of renal trauma in this study was broadly consistent with other international studies. For instance, the rate of renal injury in the study by McPhee et al (2015) in London was 1.9% (12), in the study by Khoschnau et al (2020) in Qatar, 2.4% (4), and in the study by Guareschi et al (2015) in Brazil, it was 4.15% (20).…”

Section: Discussionmentioning

confidence: 83%

Pattern and Severity of Traumatic Renal Injury: A Three-Year Study at Single Level One Trauma Center in Southern Iran

2023

ircmj

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Background: Renal trauma is among the most important trauma challenges. Better management of traumatic renal patients is necessary to improve the patients’ clinical outcome. Objectives: This study aimed to analyze the pattern, severity, mechanism of injury, and outcome in renal trauma. Methods: This cross-sectional study was conducted in the largest trauma center in southern Iran from March 2018 to June 2022. Adult patients with diagnosed renal trauma based on abbreviated injury scale guideline were included. Variables of age, gender, anatomy of injury, mechanism of injury, lenghth of hospitalization, level of blood pressure, severity of injury, and the outcome of patients have been collected. Results: In total, 4,416 traumatic patients were admitted to the Emergency Department of the Hospital during the study time, of which 46 cases had traumatic renal injury. The rate of renal injury in the level one trauma center in southern Iran was 0.96%, and the death rate in renal injury victims was 12(26.1%). Most of the injured with renal injury were men 39(84.8%). Blunt trauma was the dominant type of trauma in most victims with renal injury 34(73.9%). Thirty-seven percent (n=17) of traumatic renal injury victim was in mild level (grade 1 and 2), and 16(34.8%) in severe level (grade 4 and 5). Renal injury was mostly associated with thorax injury (n=46) as extra-abdominal organ injury, and liver injury (n=16) and spleen (n=15) as intra-abdominal organ injury. Conclusion: The results of the present study showed that the severity of injury in patients with renal injury is high, and it is usually associated by injury to other body organs. It is suggested that the traumatic patients should be immediately examined for renal injury in the resuscitation department due to the high mortality rate and severity of these patients.

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Epidemiological analysis of polytrauma patients with kidney injuries in a university hospital

Cited by 10 publications

References 18 publications

Renal trauma: a 5-year retrospective review in single institution

Renal trauma: a 5-year retrospective review in single institution

Kidney and uro-trauma: WSES-AAST guidelines

Pattern and Severity of Traumatic Renal Injury: A Three-Year Study at Single Level One Trauma Center in Southern Iran

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