Blunt Renal Trauma: A 6-Year Retrospective Review in a Single Institution
Anda Catinca Hogea1, Ioan Scarneciu1, Marius Alexandru Moga1
1Faculty of Medicine, Transilvania University of Brasov, 500019 Brasov, Romania.
Medicina (Kaunas, Lithuania)
|April 26, 2025
Summary
Conservative management is effective for stable blunt renal trauma, with most patients showing good outcomes. This approach is crucial for improving clinical practices in treating kidney injuries.
Area of Science:
- Urology
- Trauma Surgery
- Emergency Medicine
Background:
- Renal trauma management has evolved, with a growing trend towards non-operative strategies for stable injuries.
- Advances in imaging and hemodynamic stabilization support conservative treatment for blunt renal trauma.
- Careful clinical evaluation is essential to balance operative versus non-operative management.
Purpose of the Study:
- To evaluate the epidemiology and injury mechanisms of blunt renal trauma.
- To assess the outcomes of different management strategies for blunt renal trauma.
- To determine the influence of management on morbidity and mortality rates in renal trauma patients.
Main Methods:
- Retrospective review of 89 patients diagnosed with renal trauma.
- Data collected from medical records at the Emergency Clinical County Hospital in Brasov, Romania (2018-2023).
- Analysis of injury grades using the AAST classification.
Main Results:
- The most common injuries were AAST grade 2 (34.83%) and grade 1 (26.97%).
- 84.27% of patients were managed conservatively.
- The overall mortality rate for blunt renal trauma was 12.36%.
Conclusions:
- Personalized management is key for renal trauma, favoring conservative treatment in hemodynamically stable patients.
- Findings enhance understanding of renal trauma outcomes, informing clinical practice and guidelines.
- Further research is needed on long-term outcomes and optimizing treatment protocols for renal trauma.
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