What Classification Is Appropriate
in Renal Trauma?

Lent, V.

doi:10.1159/000474191

Cited by 15 publications

(8 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Twenty-six classifications for renal injuries have been presented in the literature over the past 60 years [13]. Among them, the organ injury scaling committee of the American Association for the Surgery of Trauma (AAST) developed a renal injury scaling system that is now widely used [14].…”

Section: Introductionmentioning

confidence: 99%

Grade IV renal trauma management. A revision of the AAST renal injury grading scale is mandatory

Chiron

Hornez

Boddaert

et al. 2015

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Grade IV renal trauma management. A revision of the AAST renal injury grading scale is mandatory

Chiron

Hornez

Boddaert

et al. 2015

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

show abstract

“…In a personally developed classification (1996), the clinical severity of the morphologic forms of injury and different symptoms of injury are assigned to the various organ systems. However, this classification has been criticized as being a hindrance or too complex for emergency situations [2,[31][32][33]. In the new, simplified classification given in this paper, the localization, injuries, symptoms, and severity of a renal trauma are combined with each other, so that every case can be differentially described by its decisive factors and three degrees of severity in a simple formula.…”

Section: Discussionmentioning

confidence: 99%

“…The new, simplified classification was developed from a previous (1996) classification [2]. Although the pathogenesis -blunt or penetrating force -can have different consequences for the treatment (indication of operation), its effects are similar.…”

Section: Methodsmentioning

confidence: 99%

“…Since the first classification by Küster (1896), numerous classifications and modifications have been described without any of them becoming generally recognized or used. Most of them contain morphologic degrees of injury of the renal parenchyma -contusions, rupture, fragmentation -with nondifferentiated assignment of injuries to the renal pelvis and pedicle vessels to a higher degree of severity without taking into account their functional effects -bleeding, urine extravasation, and disorders of renal function [1,2].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical Classification of Renal Injuries

Lent

2003

European Journal of Trauma

View full text Add to dashboard Cite

Purpose: To assess whether previous classifications of renal injuries fulfill their purpose and to propose an alternative classification scheme. Material and Methods: In a retrospective analysis, papers that were published in the last 50 years and provided information on pathogenesis, localization, classification, treatment, and monitoring of the progress of renal injuries were evaluated with respect to the number or the frequency of severity grades and parenchymal ruptures, primary and secondary operations or nephrectomies, and early and late complications. Results: 24 papers were evaluated. These showed marked heterogeneity of all basal data and target parameters. The number of cases ranged from 40 to 510, the control periods from 5 to 29 years. The proportion of ruptures ranged from 11.2% to 100%, the percentage of cases treated operatively from 6.5% to 100%, of cases treated conservatively from 0 to 95.29%, of nephrectomies from 3.53% to 19.0%, and the rate of late sequelae/complications from 5.03% to 47.14%. There were seven classifications used with different frequencies, rankings, and criteria. In most of these, the morphologic injuries to the renal parenchyma were graded. The injuries to the renal pelvis-calyx system and the pedicle vessels were assigned without differentiation to a higher degree of severity. The prognostic and therapeutically decisive effects of the respective injuries -bleeding, urine extravasation, disorders of renal functionwere not taken into account at all. Conclusions: Previous classifications of renal injuries are based on anatomic changes without regard to their clinical consequences and degrees of severity. In the new classification scheme presented here, the injured organ systems (parenchyma, collecting system, pedicle vessels) and the existing symptoms of injury (bleeding, urine extravasation, disorders of renal function) are classified according to severity (slight, moderate, severe). Every injury can be defined using a simplified trauma formula (A B C -I II III) that expresses the severity, is relevant to decision-making, and provides advantages for practical emergencies and scientific comparisons.

show abstract

“…After the first classification formulated by Küster in 1896, many others have been proposed or modified, with none of them, however, gaining general acceptance [27]. In 1989, Moore et al [28] developed for the American Association for the Surgery of Trauma (AAST) Organ Injury Scale (OIS), which provided and still provides an accurate description of major renal injuries [4].…”

Section: Classification Of Renal Injuriesmentioning

confidence: 99%

Multidetector computed tomography in the diagnosis and management of renal trauma

et al. 2010

View full text Add to dashboard Cite

Renal injuries fall within the broad and complex subject of retroperitoneal trauma. Although their computed tomography (CT) features have been known for a while, the timing, diagnostic approach and management are still debated. In addition, some areas of uncertainty remain regarding timing, indications and imaging modalities to be used in the follow-up of these patients. The purpose of this paper is to review the impact of CT on the management of renal trauma, stressing the importance of this technique and the role of the radiologist in the timing of decisions. Finally, we discuss the diagnostic approach to the followup of renal trauma.Keyword Renal injuries · CT · Management URO-GENITAL RADIOLOGY RADIOLOGIA URO-GENITALE Radiol med (2010) 115:936-949

show abstract

What Classification Is Appropriate in Renal Trauma?

Cited by 15 publications

References 5 publications

Grade IV renal trauma management. A revision of the AAST renal injury grading scale is mandatory

Grade IV renal trauma management. A revision of the AAST renal injury grading scale is mandatory

Clinical Classification of Renal Injuries

Multidetector computed tomography in the diagnosis and management of renal trauma

Contact Info

Product

Resources

About