Abstract:

Purpose: In this study we evaluated our clinical approach to patients with kidney trauma. Method: Data of 182 patients followed and treated with a diagnosis of isolated kidney trauma found in patients seeking trauma from 2014-2018 to the Malatya Education and Research Hospital Emergency Service were retrospective examined. The demographic characteristics of patients, such as age, gender, forms of injury, vital findings at the moment of the first diagnosis, methods of treatment and developing complication data were collected. The trauma was classified according to the American Trauma Surgery Association’s organ injury severity scale. The average age of patients diagnosed with renal trauma was 32.4 years (18-68 years). 151 of these patients (82.9 percent) were male, while 31 (17.1 percent) were female. When the forms of injuries were assessed, 55 (30.2 percent) of patients had penetrating injuries and 127 (69.8 percent) of patients had cornea injuries. The distribution of kidney trauma was found to be 64, 62, 41, 12 and 3 for Grade 1-2-3-4-5 injuries according to the American Trauma Surgery Association’s organ injury scale.  In 170 patients, conservative treatment was administered. The average patient stay in the hospital was 7,08 (4-12) days. The result: in all patients with kidney injury and with hemodynamics stable, conservative treatment approach should first be tested.

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Abstract:

Objective: In this study, our clinical approach to patients with renal trauma is evaluated. Method: Retrospective analysis was made for the data of 182 patients who applied to and were monitored and treated at Malatya Training and Research Hospital between 2014-2018 for isolated renal trauma. Demographic characteristics such as age and gender, the ways of injury, vital findings at first diagnosis, treatment method and complication data were collected for the patients. Grading of the renal trauma was performed based on the organ injury scale of the American Association for the Surgery of Trauma. Results: The mean age of the patients diagnosed with renal trauma was found as 32.4 year (18-68 year). 151 of these patients (82.9%) were male and 31 (17.1%) of them were women. When the ways of injury were examined, it was found that 55 (30.2%) patients had penetrating injuries and 127 (69.8%) of them had blunt injuries. The distribution of renal trauma according to the American Association for the Surgery of Trauma organ injury scale was 64, 62, 41, 12 and 3 for Grade 1-2-3-4-5 injuries respectively. 170 patients underwent conservative treatment. The average duration of hospital stay for the patients was found to be 7.08 (4-12) days. Conclusion: Conservative treatment should be attempted primarily in all patients with renal injury and hemodynamic stability.