Você está na página 1de 1

Features and outcomes of patients with grade IV renal injury

1. 2. 3. 4. 5. #. Shahrokh F. Shariat, Adam Jenkins, Claus G. Roehrborn, Jose A. Karam, Ke !. Sta"e, $ierre %. Karakie&i'( Arti'le )irst *ublished online+ 24 A$R 2,,./%+ 1,.111101.14#4241,3.2,,-.,4#3-.5

OBJECTIVE
6o e7aluate the 'lini'al )eatures and out'omes o) *atients &ho *resented &ith "rade %8 renal trauma to our urban le7el % trauma hos*ital and to )urther re)ine the absolute indi'ations )or e5*loration and determine the out'omes o) 'onser7ati7e mana"ement.

P TIE!T" !# $ET%O#"
%n all, 44 *atients &ith "rade %8 traumati' renal in1uries *resented to our emer"en' de*artment bet&een /'tober 1994 and /'tober 2,,#. A *ros*e'ti7e trauma database in'ludin" these *atients &as anal sed to determine the *atterns o) in1ur , o*erati7e out'omes and 'om*li'ations.

&E"'(T"
A :uarter o) the *atients had "unshot in1uries, 9; had stab in1uries, and ##; had blunt traumas. %n all, 3#; o) *atients re:uired sur"i'al e5*loration to treat asso'iated non2urolo"i'al in1uries. 6here &as no or mi'ros'o*i' haematuria in 29; o) the *atients. /) the 32 *atients &ho under&ent renal e5*loration, #3; <2,032= under&ent renorrha*h and 34; <12032= under&ent ne*hre'tom . %n multi7ariate anal ses, onl "unshot in1ur , sur"er )or non2urolo"i'al in1ur , and 7olume o) blood trans)used &ere si"ni)i'antl asso'iated &ith the need )or renal e5*loration < P > ,.,15, P > ,.,41, and P > ,.,32, res*e'ti7el =. 6he renal 'om*li'ation rate &as hi"her in *atients mana"ed 'onser7ati7el 7s those &ho under&ent sur"i'al e5*loration, but this &as not statisti'all si"ni)i'antl di))erent <2-; 7s 13;, P > ,.2=. !os*ital sta &as lon"er a)ter renal e5*loration than a)ter 'onser7ati7e mana"ement at a median o) 12 da s 7s 4 da s <P > ,.,1=.

CO!C('"IO!"
?hile almost all *atients &ith *enetratin" in1ur re:uire renal e5*loration, onl 2,; o) those &ith blunt trauma do. $atients &ith no renal in1uries and0or haemod nami' instabilit are more likel to re:uire e5*loration. Finall , the rate o) 'om*li'ations &as not statisti'all di))erent a''ordin" to mana"ement t *e <'onser7ati7e 7s renal e5*loration=.

Você também pode gostar