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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