Management of high-grade renal injury in children

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dc.contributor.authorOkur, M. H.
dc.contributor.authorArslan, S.
dc.contributor.authorAydogdu, B.
dc.contributor.authorArslan, M. S.
dc.contributor.authorGoya, C.
dc.contributor.authorZeytun, H.
dc.contributor.authorBasuguy, E.
dc.date.accessioned2024-04-24T15:59:45Z
dc.date.available2024-04-24T15:59:45Z
dc.date.issued2017
dc.departmentDicle Üniversitesien_US
dc.description.abstractThe management of severe renal trauma is disputable. Herein, we present diagnosis and treatment of patients with high-grade renal injury (grades IV and V). The records of 31 patients with severe renal trauma who were treated between 2009 and 2014 were analyzed retrospectively. All patients' CT results were evaluated by two radiologists and assigned grades of IV or V in accordance with the American Association for the Surgery of Trauma Organ Injury Severity Scale. All hemodynamically stable renal trauma patients were treated conservatively. Patients with renal traumas of grade IV and V were evaluated statistically via the SPSS 15.0 software program. Chi-square and Mann-Whitney U tests were used to evaluate the categorical data. Thirteen (42 %) of 31 patients had grade IV, and 18 (58 %) had grade V renal traumas. Twenty-seven (87 %) of the patients had suffered blunt trauma, and four (13 %) had sustained penetrating injuries. Additional organ injuries were seen in 16 patients (52 %), and 15 (48 %) had no concurrent injuries. Twenty-five patients (89 %) were monitored conservatively, three (10 %) underwent surgery, and three patients with grade V renal trauma and additional organ injuries died. There was no statistically significant difference between the grade IV and grade V groups, except in hemoglobin values and the affected kidney (P = 0.07 and P = 0.02, respectively). Computerized tomography can help to grade renal injury and assess additional organ injuries quickly. Most children with high-grade renal injury can be managed conservatively. However, conservative management of renal traumas relies on a multidisciplinary approach. Additionally, surgical intervention is generally required in the face of hemodynamic instability or other concurrent organ injuries.en_US
dc.identifier.doi10.1007/s00068-016-0636-y
dc.identifier.endpage104en_US
dc.identifier.issn1863-9933
dc.identifier.issn1863-9941
dc.identifier.issue1en_US
dc.identifier.pmid26833463en_US
dc.identifier.scopus2-s2.0-85011773009en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage99en_US
dc.identifier.urihttps://doi.org/10.1007/s00068-016-0636-y
dc.identifier.urihttps://hdl.handle.net/11468/14238
dc.identifier.volume43en_US
dc.identifier.wosWOS:000394315900014
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofEuropean Journal of Trauma and Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChildrenen_US
dc.subjectSevere Renal Traumaen_US
dc.subjectNon-Surgical Managementen_US
dc.subjectHigh Gradeen_US
dc.titleManagement of high-grade renal injury in childrenen_US
dc.typeArticleen_US

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