American Association for the Surgery of Trauma Organ Injury Scale for kidney injuries predicts nephrectomy, dialysis, and death in patients with blunt injury and nephrectomy for penetrating injuries

The Journal of Trauma
James K KuanAmerican Association for the Surgery of Trauma

Abstract

Despite broad clinical use of the American Association of the Surgery of Trauma (AAST) injury scale for kidney, it has only been found to predict the need for renal surgery in single institution series. We sought to validate this scheme for morbidity and mortality in a national cohort of patients with renal injury. A retrospective cohort design was used to determine the association between increasing AAST scores and nephrectomy, dialysis, and mortality. The cohort included all patients with a renal injury in the National Trauma Data Bank (NTDB) from 1994 and 2003. Univariate and multivariate prediction models were used for analysis of data. At the time of review, a total of 742,774 patient records were registered in the NTDB. Renal injury occurred in 8465 patients (1.2%). Increasing injury grade was associated with a greater nephrectomy (RR 12-127), dialysis (RR 1.3-4.7), and mortality (RR 1.3-1.9) rate for blunt kidney injury. For penetrating injury, nephrectomy was the only outcome that was associated with higher grades of renal injury with a RR of 7.7 to 31 for grades III to V injuries. The AAST injury scale for kidney predicts for morbidity in blunt and penetrating renal injury and for mortality in blunt injury. Thus, we co...Continue Reading

References

Aug 1, 1991·The Journal of Urology·S HerschornL Klotz
Dec 1, 1989·The Journal of Trauma·E E MooreM L Ramenofsky
Aug 1, 1995·The Journal of Urology·K S Miller, J W McAninch
Dec 29, 2000·The Journal of Trauma·M M KnudsonJ W McAninch
Sep 28, 2001·Archives of Surgery·J C DiGiacomoC W Schwab
Mar 23, 2002·World Journal of Surgery·Ramsay L KuoR Lawrence Reed
Mar 14, 2003·The Journal of Trauma·Hunter WessellsAvery B Nathens

❮ Previous
Next ❯

Citations

Aug 12, 2009·The Journal of Trauma·Samuel C SchecterJack W McAninch
Mar 26, 2013·Clinics in Sports Medicine·Tracey A Viola
May 18, 2012·The Journal of Urology·C MoolmanA J Nicol
Dec 20, 2011·The Journal of Urology·James M HotalingBryan B Voelzke
Jan 24, 2012·The Journal of Urology·Marc A BjurlinCourtney M P Hollowell
Sep 29, 2011·Urology·Marc A BjurlinCourtney M P Hollowell
Jul 5, 2011·Journal of the American College of Surgeons·Marc A BjurlinCourtney M P Hollowell
Apr 26, 2011·Journal of Vascular and Interventional Radiology : JVIR·Babak SaraniC William Schwab
Mar 13, 2012·International Journal of Urology : Official Journal of the Japanese Urological Association·Toru SugiharaYukio Homma
Mar 24, 2016·Der Urologe. Ausg. A·A Hegele
Jun 4, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·B KautzaA B Peitzman
Jun 4, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·P ChironX Durand
Jan 13, 2015·European Urology·Efraim SerafetinidesDuncan J Summerton
Jun 8, 2014·The Journal of Urology·Gwen M GrimsbyMicah A Jacobs
Apr 25, 2016·Abdominal Radiology·Suzanne T ChongAnia Z Kielar
Feb 22, 2017·Journal of the Chinese Medical Association : JCMA·Zhi-Qiang CaoYaling Han
Mar 23, 2017·The Journal of Trauma and Acute Care Surgery·Jean-Etienne TerrierAmina N'Diaye
Nov 29, 2016·The Journal of Trauma and Acute Care Surgery·Marc A BjurlinDana Villines
Sep 1, 2017·Annals of Surgery·Marc ColacoRyan P Terlecki
Nov 12, 2010·The Journal of Trauma·Andrew B Peitzman, J David Richardson
Feb 12, 2019·The Journal of Trauma and Acute Care Surgery·Sorena KeihaniUNKNOWN in conjunction with the Trauma and Urologic Reconstruction Network of Surgeons
Oct 11, 2014·Emergency Radiology·Vivek Bihari KalraHoward Forman
Jun 8, 2019·Journal of Medical Imaging and Radiation Oncology·Warren Clements, Heather K Moriarty
Oct 4, 2019·Scandinavian Journal of Urology·Sophia Liff MaibomUlla Nordström Joensen
Jan 28, 2016·Current Opinion in Urology·Meredith Metcalf, Joshua A Broghammer
Dec 27, 2019·The Journal of Trauma and Acute Care Surgery·Sorena KeihaniUNKNOWN in conjunction with the Trauma and Urologic Reconstruction Network of Surgeons
Oct 26, 2013·The Journal of Trauma and Acute Care Surgery·Jennifer J ShoobridgeNiall M Corcoran
Sep 26, 2013·The Journal of Trauma and Acute Care Surgery·Christopher D McClungBryan B Voelzke
May 23, 2018·The Journal of Trauma and Acute Care Surgery·Carlos V R BrownKenji Inaba

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.