High-grade renal injuries are often isolated in sports-related trauma

Injury
Darshan P PatelJeremy B Myers

Abstract

Most high-grade renal injuries (American Association for Surgery of Trauma (AAST) grades III-V) result from motor vehicle collisions associated with numerous concomitant injuries. Sports-related blunt renal injury tends to have a different mechanism, a solitary blow to the flank. We hypothesized that high-grade renal injury is often isolated in sports-related renal trauma. We identified patients with AAST grades III-V blunt renal injuries from four level 1 trauma centres across the United States between 1/2005 and 1/2014. Patients were divided into "Sport" or "Non-sport" related groups. Outcomes included rates of hypotension (systolic blood pressure <90mm Hg), tachycardia (>110bpm), concomitant abdominal injury, and procedural/surgical intervention between sports and non-sports related injury. 320 patients met study criteria. 18% (59) were sports-related injuries with the most common mechanisms being skiing, snowboarding and contact sports (25%, 25%, and 24%, respectively). Median age was 24 years for sports and 30 years for non-sports related renal injuries (p=0.049). Males were more commonly involved in sports related injuries (85% vs. 72%, p=0.011). Median injury severity score was lower for sports related injuries (10 vs. 2...Continue Reading

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Citations

Apr 28, 2016·Italian Journal of Pediatrics·Giancarlo TancrediRiccardo Lubrano
Jan 31, 2019·ANZ Journal of Surgery·Margaret M MansbridgeMartin Wullschleger
Oct 12, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Austin W ChenBenjamin G Domb
Dec 13, 2019·World Journal of Emergency Surgery : WJES·Federico CoccoliniUNKNOWN WSES-AAST Expert Panel
Aug 28, 2020·World Journal of Emergency Surgery : WJES·Shunichiro NakaoTakeshi Shimazu
Dec 25, 2019·International Journal of Surgery·Patrizio PetroneD'Andrea K Joseph
May 26, 2021·Annals of Emergency Medicine·Chiara ZanchiEgidio Barbi
Sep 26, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Shunichiro NakaoTakeshi Shimazu

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