Predictive factors for nephrectomy in renal trauma; assessment of a 6-point score

Purpose To evaluate predictive and associated risk factors for nephrectomy in renal trauma and assess a 6-point score for surgical decision-making. Patients and methods This multicenter, retrospective, and observational study assessed 247 subjects with blunt or penetrating kidney trauma. Kidney inju...

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Bibliographic Details
Published in:European journal of trauma and emergency surgery (Munich : 2007) 2023-10, Vol.49 (5), p.2241-2248
Main Authors: Pallares-Mendez, Rigoberto, Cervantes-Miranda, Daniel Eduardo, Castillo-Godinez, Evelyn Susana, de la Cruz-de la Cruz, Carlos, Aguilar-Méndez, Marco Antonio, Gutierrez-Gonzalez, Adrian, Mendoza-Castillo, Fernando, Mata-Torres, Héctor, Ochoa-Arvizo, Mario, Montelongo-Rodriguez, Fred, Hernandez-Aranda, Katherine Lyn, Cota-Agüero, Jesús Arturo
Format: Article
Language:English
Subjects:
Clinical decision making
Clinical outcomes
Critical Care Medicine
Emergency medical care
Emergency Medicine
Health risks
Intensive
Intravenous therapy
Kidneys
Medicine
Medicine & Public Health
Original Article
Sports Medicine
Surgery
Surgical Orthopedics
Surgical outcomes
Trauma
Traumatic Surgery
Urological surgery
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Summary:Purpose To evaluate predictive and associated risk factors for nephrectomy in renal trauma and assess a 6-point score for surgical decision-making. Patients and methods This multicenter, retrospective, and observational study assessed 247 subjects with blunt or penetrating kidney trauma. Kidney injuries were classified according to the American Association for the Surgery of Trauma (AAST) Injury Scoring Scale. Renal trauma was classified as “low-grade” (Grades I-III), Grade IV, and Grade V. Subjects were compared according to conservative treatment (CTrt.) or nephrectomy. Predictive factors were evaluated with a multiple regression model. A 6-point score was evaluated with a ROC analysis. Results Patients requiring nephrectomy had a lower mean arterial pressure MAP compared to CTrt, 64.71 mmHg (SD ± 10.26) and 73.86 (SD ± 12.42), respectively ( p  =  
ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-022-02006-w