MP9-17 UROLOGICAL TRAUMA IN A EUROPEAN LEVEL 1 TRAUMA CENTRE: AN UPDATE
| Autor: | Devendra Sharma, Jonathan Makanjuola, Gordon Kooiman, Gordon Muir, Philippe Grange, Johan Poulsen, Peter Thompson, Taylor Claire, Christian T. A. Brown |
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| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Journal of Urology. 191 |
| ISSN: | 1527-3792 0022-5347 |
| DOI: | 10.1016/j.juro.2014.02.505 |
| Popis: | INTRODUCTION AND OBJECTIVES: Motor vehicle collisions (MVCs) are the most common cause of blunt genitourinary trauma. We compared renal injuries and the surgical management of occupants with no protective device to those with seat belts and airbags utilizing the National Trauma Data Bank (NTDB). Our primary endpoint was a reduction in high-grade renal injuries (grades III-V) with a secondary endpoint of reduction in nephrectomy rate. METHODS: The NTDB research datasets, admission year 2010 and 2011, were queried for MVC occupants with renal injury. Subjects were stratified by protective device and airbag deployment. Abbreviated Injury Score was converted to American Association for the Surgery of Trauma (AAST) renal injury grade and surgical management was evaluated for nephrectomy. Intergroup comparisons were analyzed for renal injury grades, nephrectomy, length of stay (LOS), and mortality with chi-square or one-way ANOVA. Protective device relative risk reduction was determined. RESULTS: A review of 287,174 MVCs revealed 2,580 renal injuries. Injured occupants without a protective device had a higher rate of high grade renal injury (44.3%) compared to those with seat belts (40.1%, p1⁄40.09), airbags (42.3%, p1⁄40.579), and seat belts with airbags (34.1%, p |
| Databáze: | OpenAIRE |
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