Mobility and Sporting Activity After Renal Trauma: A Survey Regarding Best Clinical Practice During the Recovery Stage.

Autor: 't Hoen LA; Sophia Children's Hospital, Erasmus Medical Center, Rotterdam, the Netherlands. Electronic address: l.thoen@erasmusmc.nl., O'Kelly F; School of Medicine, University College Dublin, Dublin, Ireland., Lammers RJM; Department of Urology, University Medical Center Groningen, Groningen, the Netherlands., Dönmez Mİ; Faculty of Medicine, Istanbul University, Istanbul, Turkey., Baydilli N; School of Medicine, Erciyes University, Kayseri, Turkey., Sforza S; University Hospital Meyer, Florence, Italy., Bindi E; Paediatric Hospital G. Salesi, Ancona, Italy., Atwa A; Urology Department, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt., Haid B; Ordensklinikum Linz, Barmherzige Schwestern Hospital, Linz, Austria., Quiroz Y; Department of Urology, Division of Pediatric Urology, Fundació Puigvert, Barcelona, Spain., Marco BB; Department of Urology, Renal Transplant Division, University Hospital El Clinico, Madrid, Spain.
Jazyk: angličtina
Zdroj: Urology [Urology] 2024 Jan; Vol. 183, pp. 199-203. Date of Electronic Publication: 2023 Oct 06.
DOI: 10.1016/j.urology.2023.09.030
Abstrakt: Objective: To evaluate strategies that are followed after pediatric renal trauma during the recovery stage, with an emphasis on mobility and involvement in subsequent sporting activities. Renal trauma is the most common urogenital trauma in children. The American Association for the Surgery of Trauma (AAST) scale is most commonly used to stratify the severity of injury. There is no consensus in the existing literature with respect to the recovery stage following renal trauma.
Methods: A survey was constructed by the European Association of Urology (EAU) - Young Academic Urologists (YAU) Pediatric Urology Working Group and then made digitally available on SurveyMonkey. The survey consists of 15 questions exploring relevant factors and timing to start again with mobility and activity.
Results: In total 153 people responded, of whom 107 completed the entire survey. The presence of pain and severity of trauma were acknowledged as most important factors to commence mobilization, whereas presence of hematuria was identified as an additional factor for sporting activity. Regardless of severity of trauma a minimum of 90% of respondents recommend return to noncontact sports within 12weeks. For contact sports, a minimum of 33% of respondents advised >12weeks minimum before starting again. A small number of respondents would never allow sporting activities again.
Conclusion: The time to allow sporting activity shows high variation among the respondents, some even restricting sporting activities completely. This survey highlights the need for a standardized protocol based on multicenter follow-up data.
Competing Interests: Declaration of Competing Interest The authors have no relevant conflicts of interest to report for this study.
(Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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