Analysis and approach to renal trauma:A five-year experience at a level I trauma centre in north India  

作　　者：Piyush Gupta Parvez Mohi Ud Din Dar Sahil Gupta Siddhart Jain Subodh Kumar Amit Gupta Sushma Sagar 

机构地区：[1]Department of General Surgery,Indian Naval Hospital Ship,Kalyani,vizag,Visakhapatnam,Andhra Pradesh,530005,India [2]Department of Trauma and Emergency Medicine,All India Institute of Medical Sciences,Vijaypur,Jammu,184120,India [3]Division of Trauma Surgery and Critical Care,Jai Prakash Narayan Apex Trauma Centre,All India Institute of Medical Sciences,New Delhi,110029,India [4]Department of Urology,All India Institute of Medical Sciences,New Delhi,110029,India

出　　处：《Chinese Journal of Traumatology》2025年第2期138-144,共7页中华创伤杂志(英文版)

摘　　要：Purpose:Renal trauma constitutes 0.5%-5% of all trauma patients,and 10%-20% of abdominal trauma.It is the most commonly injured organ in the genitourinary tract.Road traffic crash(RTC)is the most common cause.In recent years due to the advances in radiological imaging and endovascular techniques,there has been an increase in the nonoperative management of renal trauma.We investigated a large trauma cohort at a level I trauma centre to evaluate patients'demographics with renal trauma,their management,and the outcomes.Methods:This was a retrospective analysis of the prospectively collected data of renal trauma patients managed from January 2016 to December 2020.Patients who visited the level I trauma centre in north India with renal trauma were included in this study.Patients who were dead on arrival in the emergency department were excluded.Demographics,mechanism of injury,presence of hemorrhagic shock,associated injuries,complications,length of hospital stay(LOS),discharge,and mortality were recorded.The data were entered in Microsoft Excel 365 and analysed using SPSS version 21.Results:This study collected data from 303 renal trauma patients.Males constituted 86.5%of the patients.Most patients were young,aged from 20-40 years.Blunt renal trauma was the predominant mode of injury(n=270,89.1%).RTCs(n=190,62.7%)and falls from height(n=65,21.4%)were the 2 most common mechanisms of injury.Focused assessment with sonography in trauma was positive in 68.4% of patients.Grade Ⅲ(grading by the American Association for the Surgery of Trauma)renal trauma(30.4%)was the most common grade in our study.The liver(n=104,34.3%)and splenic trauma(n=96,31.7%)were the most commonly associated injuries.Of the 303 patients,260(85.8%)were managed nonoperatively.The mean(SD)of the patients’LOS was 12.5(6.5)days.There were 25(8.3%)mortalities during the study period and all of them had associated other injuries.The comparison of LOS of isolated renal trauma group and renal trauma with associated injuries group was not statistically si

关 键 词：Renal trauma Abdominal trauma Road traffic crashes EMBOLIZATION 

分 类 号：R692[医药卫生—泌尿科学]