Evaluation of renal function after major renal injury: correlation with the American Association for the Surgery of Trauma Injury Scale

The Journal of Urology
Gregory E TasianJack W McAninch

Abstract

In this study we evaluated the effect of major kidney injury on renal function. A retrospective cross-sectional analysis was conducted of all patients who sustained renal trauma between 1977 and 2008 at San Francisco General Hospital, and underwent post-injury dimercapto-succinic acid renal scan (67). Decrease in renal function was defined as the absolute percentage difference between the affected and unaffected kidney on dimercapto-succinic acid scan. Univariate (Spearman rank correlation) and multivariate (linear regression) analyses of the American Association for the Surgery of Trauma renal injury grade, patient age, mechanism of injury (blunt vs penetrating), side of injury, treatment used (nonoperative vs surgery), shock, gender, presence of gross hematuria, serum creatinine on hospital admission, postoperative complications and associated injuries were performed. Of the 67 renal injuries 23 (34%) were managed nonoperatively. There were 43 (64%) injuries due to penetrating trauma and 24 (36%) due to blunt injury. Mean decrease in renal function for grade III, IV and V injuries was 15%, 30% and 65%, respectively. Univariate analysis demonstrated a significant association between decrease in renal function and injury grade ...Continue Reading

Citations

Dec 1, 2012·Case Reports in Urology·Campbell D Tait, B K Somani
Mar 15, 2015·Injury·Darshan P PatelJeremy B Myers
Jun 4, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·P ChironX Durand
Apr 25, 2016·Abdominal Radiology·Suzanne T ChongAnia Z Kielar
Feb 9, 2012·The Journal of Trauma and Acute Care Surgery·Dennis Y KimRaul Coimbra
Oct 4, 2019·Scandinavian Journal of Urology·Sophia Liff MaibomUlla Nordström Joensen
Jan 28, 2016·Current Opinion in Urology·Meredith Metcalf, Joshua A Broghammer
Sep 8, 2011·Current Opinion in Urology·Ofer Z Shenfeld, Ehud Gnessin
Dec 25, 2019·International Journal of Surgery·Patrizio PetroneD'Andrea K Joseph
Aug 21, 2021·Seminars in Pediatric Surgery·Georg SingerHolger Till

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