Epidemiological analysis of polytrauma patients with kidney injuries in a university hospital
Objective: To analyze the characteristics of trauma patients with renal lesions treated at a university hospital in Curitiba. Methods: We conducted a retrospective, cross-sectional study guided by review of medical records of trauma victims who underwent surgical treatment. The variables analyzed...
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Colégio Brasileiro de Cirurgiões
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| Series: | Revista do Colégio Brasileiro de Cirurgiões |
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| author | Bianca Luiza Valduga Guareschi Carla Martinez Menini Stahlschmidt Karin Becker Marianna Fergutz S. Batista Patricia Longhi Buso Luiz Carlos Von Bahten |
| author_facet | Bianca Luiza Valduga Guareschi Carla Martinez Menini Stahlschmidt Karin Becker Marianna Fergutz S. Batista Patricia Longhi Buso Luiz Carlos Von Bahten |
| author_sort | Bianca Luiza Valduga Guareschi |
| collection | DOAJ |
| description | Objective: To analyze the characteristics of trauma patients with renal lesions treated at a university hospital in Curitiba. Methods: We conducted a retrospective, cross-sectional study guided by review of medical records of trauma victims who underwent surgical treatment. The variables analyzed were age, gender, mechanism of injury, degree of kidney damage, conduct individualized according to the degree of renal injury, associated injuries, complications and deaths. We classified lesions according to the American Association of Trauma Surgery (TSAA). Results: We analyzed 794 records and found renal lesions in 33 patients, with mean age 29.8 years, most (87.8%) being male. Penetrating trauma accounted for 84.8% of cases. The most common renal injuries were grade II (33.3%), followed by grade I (18.1%), III, IV and V. Nephrectomy treated 45.4% of injuries, 73.3% being total nephrectomy, and 45.4% by nephrorraphy. In 9% treatment was non-surgical. Only 12.1% of patients had isolated renal lesions. Complications ensued in 15.1% and mortality was 6.06%. Conclusion: The surgical approach was preferred due to penetrating trauma mechanism. We achieved low rates of complications and deaths, and neither case could be directly related to kidney damage, and there were patients with multiple lesions. In this sample, we could not observe a direct relationship between kidney damage and complications, deaths or the type of conduct employed. |
| first_indexed | 2024-12-11T14:00:14Z |
| format | Article |
| id | doaj.art-ff0efd3d4e704b87b41aba008b54fcd1 |
| institution | Directory Open Access Journal |
| issn | 1809-4546 |
| language | English |
| last_indexed | 2024-12-11T14:00:14Z |
| publisher | Colégio Brasileiro de Cirurgiões |
| record_format | Article |
| series | Revista do Colégio Brasileiro de Cirurgiões |
| spelling | doaj.art-ff0efd3d4e704b87b41aba008b54fcd12022-12-22T01:03:53ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-454642638238510.1590/0100-69912015006006S0100-69912015000700382Epidemiological analysis of polytrauma patients with kidney injuries in a university hospitalBianca Luiza Valduga GuareschiCarla Martinez Menini StahlschmidtKarin BeckerMarianna Fergutz S. BatistaPatricia Longhi BusoLuiz Carlos Von BahtenObjective: To analyze the characteristics of trauma patients with renal lesions treated at a university hospital in Curitiba. Methods: We conducted a retrospective, cross-sectional study guided by review of medical records of trauma victims who underwent surgical treatment. The variables analyzed were age, gender, mechanism of injury, degree of kidney damage, conduct individualized according to the degree of renal injury, associated injuries, complications and deaths. We classified lesions according to the American Association of Trauma Surgery (TSAA). Results: We analyzed 794 records and found renal lesions in 33 patients, with mean age 29.8 years, most (87.8%) being male. Penetrating trauma accounted for 84.8% of cases. The most common renal injuries were grade II (33.3%), followed by grade I (18.1%), III, IV and V. Nephrectomy treated 45.4% of injuries, 73.3% being total nephrectomy, and 45.4% by nephrorraphy. In 9% treatment was non-surgical. Only 12.1% of patients had isolated renal lesions. Complications ensued in 15.1% and mortality was 6.06%. Conclusion: The surgical approach was preferred due to penetrating trauma mechanism. We achieved low rates of complications and deaths, and neither case could be directly related to kidney damage, and there were patients with multiple lesions. In this sample, we could not observe a direct relationship between kidney damage and complications, deaths or the type of conduct employed.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000700382&lng=en&tlng=enKidneyWounds and injuriesEpidemiologyTraumatologyWounds, Penetrating |
| spellingShingle | Bianca Luiza Valduga Guareschi Carla Martinez Menini Stahlschmidt Karin Becker Marianna Fergutz S. Batista Patricia Longhi Buso Luiz Carlos Von Bahten Epidemiological analysis of polytrauma patients with kidney injuries in a university hospital Revista do Colégio Brasileiro de Cirurgiões Kidney Wounds and injuries Epidemiology Traumatology Wounds, Penetrating |
| title | Epidemiological analysis of polytrauma patients with kidney injuries in a university hospital |
| title_full | Epidemiological analysis of polytrauma patients with kidney injuries in a university hospital |
| title_fullStr | Epidemiological analysis of polytrauma patients with kidney injuries in a university hospital |
| title_full_unstemmed | Epidemiological analysis of polytrauma patients with kidney injuries in a university hospital |
| title_short | Epidemiological analysis of polytrauma patients with kidney injuries in a university hospital |
| title_sort | epidemiological analysis of polytrauma patients with kidney injuries in a university hospital |
| topic | Kidney Wounds and injuries Epidemiology Traumatology Wounds, Penetrating |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000700382&lng=en&tlng=en |
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