Management of Adult Blunt Renal Injury: A 10-Year Retrospective Review at a Single Institution
Purpose Renal injury occurs in up to 5% of trauma cases and the kidney is the third most wounded abdominal organ. The study objective was to analyze clinical characteristics of patients with blunt renal trauma and review the treatment of high-grade blunt renal injuries. Methods The medical charts of...
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| Format: | Article |
| Language: | English |
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Korean Society of Acute Care Surgery
2023-03-01
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| Series: | Journal of Acute Care Surgery |
| Subjects: | |
| Online Access: | http://www.jacs.or.kr/upload/pdf/jacs-2023-13-1-21.pdf |
| _version_ | 1797682020456857600 |
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| author | Jin Soo Kim Ki Hoon Kim Se Hun Kim |
| author_facet | Jin Soo Kim Ki Hoon Kim Se Hun Kim |
| author_sort | Jin Soo Kim |
| collection | DOAJ |
| description | Purpose Renal injury occurs in up to 5% of trauma cases and the kidney is the third most wounded abdominal organ. The study objective was to analyze clinical characteristics of patients with blunt renal trauma and review the treatment of high-grade blunt renal injuries. Methods The medical charts of trauma patients who visited Haeundae Paik Hospital between March 2010 and February 2020 were retrospectively analyzed. Data on demographics, injury patterns, clinical presentation, management, and outcomes were analyzed. Results A total of 68 patients with renal trauma were included in this study. The most common renal injury was Grade III (n = 27, 39.7%). Falling was the predominant mechanism of injury (n = 33, 48.5%), and 23.5% (n = 16) of patients sustained isolated renal trauma. Organ damage related to kidney injury included chest injury (57.4%, n = 39) and abdominal or pelvic content injury (48.5%, n = 33). The overall mortality rate was 2.9% (n = 2). There were 45 cases of high-grade renal trauma (AAST Kidney injury scale Grade III–V). There was no statistical difference in the outcomes of high-grade (n = 44, 97.8%) and low-grade (n = 23, 100%) renal trauma patients who received nonoperative treatment (p = 0.511). Variables did not differ significantly, except for the injury severity score which was statistically significantly different between low-grade and high-grade renal trauma patients (p = 0.001). Conclusion Most patients with traumatic renal injury, even those with high-grade injury, can be managed by nonoperative treatment, and have a good prognosis. |
| first_indexed | 2024-03-11T23:53:28Z |
| format | Article |
| id | doaj.art-bf0d03e57c0345a9a1e5f723a4e64ac6 |
| institution | Directory Open Access Journal |
| issn | 2288-5862 2288-9582 |
| language | English |
| last_indexed | 2024-03-11T23:53:28Z |
| publishDate | 2023-03-01 |
| publisher | Korean Society of Acute Care Surgery |
| record_format | Article |
| series | Journal of Acute Care Surgery |
| spelling | doaj.art-bf0d03e57c0345a9a1e5f723a4e64ac62023-09-19T00:07:24ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822023-03-01131212610.17479/jacs.2023.13.1.21261Management of Adult Blunt Renal Injury: A 10-Year Retrospective Review at a Single InstitutionJin Soo Kim0Ki Hoon Kim1Se Hun Kim2 Department of Surgery, Inje University Haeundae Paik Hospital, Busan, Korea Department of Surgery, Inje University Haeundae Paik Hospital, Busan, Korea Department of Anesthesiology, Inje University Haeundae Paik Hospital, Busan, KoreaPurpose Renal injury occurs in up to 5% of trauma cases and the kidney is the third most wounded abdominal organ. The study objective was to analyze clinical characteristics of patients with blunt renal trauma and review the treatment of high-grade blunt renal injuries. Methods The medical charts of trauma patients who visited Haeundae Paik Hospital between March 2010 and February 2020 were retrospectively analyzed. Data on demographics, injury patterns, clinical presentation, management, and outcomes were analyzed. Results A total of 68 patients with renal trauma were included in this study. The most common renal injury was Grade III (n = 27, 39.7%). Falling was the predominant mechanism of injury (n = 33, 48.5%), and 23.5% (n = 16) of patients sustained isolated renal trauma. Organ damage related to kidney injury included chest injury (57.4%, n = 39) and abdominal or pelvic content injury (48.5%, n = 33). The overall mortality rate was 2.9% (n = 2). There were 45 cases of high-grade renal trauma (AAST Kidney injury scale Grade III–V). There was no statistical difference in the outcomes of high-grade (n = 44, 97.8%) and low-grade (n = 23, 100%) renal trauma patients who received nonoperative treatment (p = 0.511). Variables did not differ significantly, except for the injury severity score which was statistically significantly different between low-grade and high-grade renal trauma patients (p = 0.001). Conclusion Most patients with traumatic renal injury, even those with high-grade injury, can be managed by nonoperative treatment, and have a good prognosis.http://www.jacs.or.kr/upload/pdf/jacs-2023-13-1-21.pdfblunt injurykidneyreviewtrauma |
| spellingShingle | Jin Soo Kim Ki Hoon Kim Se Hun Kim Management of Adult Blunt Renal Injury: A 10-Year Retrospective Review at a Single Institution Journal of Acute Care Surgery blunt injury kidney review trauma |
| title | Management of Adult Blunt Renal Injury: A 10-Year Retrospective Review at a Single Institution |
| title_full | Management of Adult Blunt Renal Injury: A 10-Year Retrospective Review at a Single Institution |
| title_fullStr | Management of Adult Blunt Renal Injury: A 10-Year Retrospective Review at a Single Institution |
| title_full_unstemmed | Management of Adult Blunt Renal Injury: A 10-Year Retrospective Review at a Single Institution |
| title_short | Management of Adult Blunt Renal Injury: A 10-Year Retrospective Review at a Single Institution |
| title_sort | management of adult blunt renal injury a 10 year retrospective review at a single institution |
| topic | blunt injury kidney review trauma |
| url | http://www.jacs.or.kr/upload/pdf/jacs-2023-13-1-21.pdf |
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