Predictors of outcomes in conservative management of high-grade renal trauma

Autor: K. R. Surag, Kasi Viswanath Gali, Abhijit Shah, A. V. B. Krishnakanth, Anshuman Singh, Abhishek Goli, Arun Chawla, Padmaraj Hegde, Anupam Choudhary
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: African Journal of Urology, Vol 30, Iss 1, Pp 1-5 (2024)
Druh dokumentu: article
ISSN: 1961-9987
DOI: 10.1186/s12301-024-00448-9
Popis: Abstract Background Management of high-grade renal trauma is debatable, with the recent evidence embracing a conservative approach in the management of even grade 5 renal injuries. The study aimed to analyze the clinical profile of patients with high-grade renal trauma, assessing their management strategies, outcomes, complications, and need for ancillary procedures. Methods A retrospective analysis of prospectively maintained data was performed involving blunt abdominal trauma patients with high-grade renal injuries (Grade 4 and 5) presenting to our hospital from January 2018 to December 2022. Patient data analyzed included demographics, clinical presentation, injury characteristics, complications, ancillary procedures, and mortality rates. All patients underwent renal functional assessment using an isotope renogram scan at the 3-month follow-up. Data collected were entered into a database and subjected to descriptive analysis using Jamovi version 2.3.28. Results The study included 45 patients with a mean age of 29 years and a male-to-female ratio of 41:4. Most patients (n = 42) were managed conservatively. Thirty-eight patients had grade 4 injuries, and seven had grade 5 injuries. Twenty-six patients suffered renal parenchymal injuries alone, three patients had renal vascular injuries alone, and 16 patients had both parenchymal and vascular injuries. Grade 5 renal injury (p
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