Outcomes of renal trauma from a major UK trauma centre: 3-year retrospective review
BAUS ePoster online library. Johnston M. 06/29/16; 131983; P8-13 Disclosure(s): None
Mr. Maximilian Johnston
Mr. Maximilian Johnston
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Abstract
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P8-13

Aims:  To retrospectively evaluate the outcomes of all renal injuries within a Major Trauma Centre (MTC) in Southern England.

Methods:  The patient dataset for all major injuries admitted via the MTC from April 2012-April 2015 was scrutinised for patients who had suffered traumatic renal injury. Data was collected for immediate management, length of stay and any associated mortality from it. Renal trauma was grouped into minor injury (Grade I-II) and major injury (Grade III-V).

Results:  2675 patients were admitted via the MTC of which 197 (7%) suffered an intra-abdominal injury and 39 (1.5%) suffered a renal injury. Twenty-six patients with major (15 grade III, 10 grade IV and 1 grade V) and 13 with minor injuries (6 grade I and 7 grade II) were admitted.

Although none of the patients with minor injuries needed any intervention, six patients (23%) with major injury needed intervention (2 embolization, 2 ureteric stent insertion and 1 nephrostomy). The median length of stay for major and minor injury was 13 days (range: 1-272 days) and minor injury was 10 days (range: 1-37 days). There were no nephrectomy and no mortality reported in this series.

Conclusions: Our review show good outcomes for renal injuries when managed in the MTC. Although major injuries may need intervention, most injuries are managed conservatively without the need for emergency nephrectomy. 

P8-13

Aims:  To retrospectively evaluate the outcomes of all renal injuries within a Major Trauma Centre (MTC) in Southern England.

Methods:  The patient dataset for all major injuries admitted via the MTC from April 2012-April 2015 was scrutinised for patients who had suffered traumatic renal injury. Data was collected for immediate management, length of stay and any associated mortality from it. Renal trauma was grouped into minor injury (Grade I-II) and major injury (Grade III-V).

Results:  2675 patients were admitted via the MTC of which 197 (7%) suffered an intra-abdominal injury and 39 (1.5%) suffered a renal injury. Twenty-six patients with major (15 grade III, 10 grade IV and 1 grade V) and 13 with minor injuries (6 grade I and 7 grade II) were admitted.

Although none of the patients with minor injuries needed any intervention, six patients (23%) with major injury needed intervention (2 embolization, 2 ureteric stent insertion and 1 nephrostomy). The median length of stay for major and minor injury was 13 days (range: 1-272 days) and minor injury was 10 days (range: 1-37 days). There were no nephrectomy and no mortality reported in this series.

Conclusions: Our review show good outcomes for renal injuries when managed in the MTC. Although major injuries may need intervention, most injuries are managed conservatively without the need for emergency nephrectomy. 

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