Severity Of Injury And Management Of Renal Trauma Patients Download Renal trauma can be an isolated injury but in 80–95% of cases there are concomitant injuries. renal trauma affects predominantly men, 72–93% of cases, and it is more frequent in the young population with a mean age range from 31 to 38 years. the mean age is even younger when only penetrating trauma is included (27–28 years). If active extravasation is noted on ct in at least secondary branches of the renal vessels, depending on the patient’s hemodynamics, severity of injury, need for ongoing blood product transfusions, presence of other injuries, availability of in house surgical team, icu availability, pre existing renal failure and contrast load on initial scan.
Severity Of Injury And Management Of Renal Trauma Patients Download The injury severity scale for the kidney is an anatomic based description, developed by the american association for the surgery of trauma (aast) in 1989 to facilitate clinical research (table 1), and it has been validated for clinical use. 16 it classifies renal injuries into five grades in order of increasing severity. The literature on the conservative management of renal trauma is reviewed within the framework of the american association for the surgery of trauma (aast) kidney injury severity scale. graded recommendations are made regarding several key topics including: imaging, inpatient management, antibiotics, return to activity, and follow up. The american association for the surgery of trauma (aast) renal injury scale was originally proposed by moore et al. [] in 1989 and was meant to be applied at the time of surgery for the purpose of facilitating clinical research and to be reflective of the effect of organ injury severity on patient outcome. 1. introduction. trauma is a leading cause of death and disability worldwide. renal injury occurs in approximately 8%–10% of blunt or penetrating abdominal trauma [1], [2], and 1%–5% of all traumas [3], [4]. renal trauma is more commonly seen in young males, with a mean age of 30.8 years. blunt trauma is caused primarily by motor vehicle.
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