Factors Influencing the Management and Prognosis of Renal Injury_Chinese Journal of Evidence-Based Medicine

Authors：

WEI Qiang ¹ , HUANG Haibo ² , YI Faxian ¹ , LI Hong ¹ , YANG Yuru ¹ , LU Yiping ¹

1. Department of Urology; West China Hospital; Sichuan University; Chengdu 610041; China2. Department of Urology; Beihai People s Hospital; Beihai 536000;

Corresponding author：

Keywords：

Renal injury treatment; Renal injury grade

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Objective　 To evaluate factors such as renal injury grade （Sargent Method）, blunt or penetrative renal injury, injury severity score（ISS）, and shock influencing the need for operation or nephrectomy, and predictive of mortality in renal injury.
Methods 　A well~tesigned questionnaire was used to collect medical records retrospectively. Two hundred and twenty-one cases of renal injury in West China Hospital from 1998 to 2002 were included, logistic regression analysis was used for multi-factors analysis.
Results 　The average age of the 221 cases was 31.6, with 191 males （86.4%） and 30 females （13.6% ）, 175 blunt injuries （79.2%） and 46 penetrative injuries （20.8%）, and 101 concomitant injuries （45.7%）. Six cases died of renal injury （2.7%）. The results of logistic regression showed that the need of operation was related to injury grade, Type of renal injury, and shock significantly. ORs （odd ratios） were 5. 965 with 95% CI 2. 767 to 12. 859, 4. 667 with 95% CI 1. 725 to 12. 628, and 2. 547 with 95% CI 1. 684 to 3. 936 respectively. The need of nephrectomy was significantly related to injury grade with OR 11. 550 and 95% CI 4. 253 to 31. 366. The death was significantly related to ISS with OR 1. 263 and 95% CI 1. 082 to 1. 411.
Conclusions 　The results of our data suggest the need of operation depends on injury grade, blunt or penetrative renal injury, and shock. The need of nephrectomy depends on injury grade. The death is related to ISS.

Citation： WEI Qiang,HUANG Haibo,YI Faxian,LI Hong,YANG Yuru,LU Yiping. Factors Influencing the Management and Prognosis of Renal Injury. Chinese Journal of Evidence-Based Medicine, 2005, 05(8): 605-608. doi: Copy

1.	王增军, 睦元庚, 吴宏飞, 王成标, 尤国才, 程双管. 186例外伤性肾损伤的诊治总结[J]. 中华泌尿外科杂志, 2001; 22(6): 353～355.
2.	王正国, 向勇, 金锡御, 何能前. 首届全国交通事故伤学术会议纪要[J]. 中华创伤杂志, 1993; 9(1): 65～67.
3.	阮元峰, 刘迎娣. 58例重度肾损伤切肾原因分析[J]. 临床泌尿外科杂志, 1999; 14(8): 333～335.
4.	何梓铭. 努力提高肾损伤诊治水平[J]. 创伤外科杂志, 2001; 3(4): 241～243.
5.	Baker SP. Injury severity score [J]. J Trauma, 1974; 14: 187.
6.	Baverstock R, Simons R, Mcloughin M. Severe blunt renal trauma: a 7-year retrospective review from a provincial trauma cetre[J]. Can J Urol, 2001; 8(5): 1372-1376.
7.	Wang ZJ, Mu YG, Wu HF, Wang CB, You GC, Cheng SG. Summarization of the diagnosis and management of 186 cases of renal trauma[J]. Chin J Urol, 2001; 22(6): 353-355.
8.	Wang ZG, Xiang Y, Jin XY, He NQ. The summary of first fall due national conference on traffic trauma[J]. Chin J Trauma, 1993; 9(1): 65-67.
9.	Ruan YF, Liu YD. An analysis of renal removal in 58 cases of severe renal injuries[J]. Clin J Urol, 1999; 14(8): 333-335.
10.	He ZM. Improving the level of diagnosis and management in renal injury[J]. J Trauma Surg, 2001; 3(4): 241-243.
11.	Matsuura T, Nose K, Tahara H, Hara Y, Amasaki N, Nishioka T, Esa A, Kunikata S, Akiyama T, Kurita T. Evaluation of the management of blunt renal trauma and indication for surgery[J]. Nippon Hinyokika Gakkai Zasshi, 2002; 93(4): 511-518.
12.	Santucci RA, McAninch JW, Safir M, Mario LA, Service S, Segal MR. Validation of the American Association for the surgery of Trauma Organ injury severity scale for the kidney[J]. J Trauma, 2001; 50(2): 195-200.
13.	McAninch JW, Carroll PR, Klosterman PW, Dixon CM, Greenblatt MN.Renal reconstruction after inury[J]. J Urol, 1991;145(7): 932-933.
14.	Wessells H, McAninch JW, Meyer A, Bruce J.Criteria for nonoperative treatment of significant penetrating renal lacerations[J]. J Urol, 1997; 157(1): 24-27.
15.	McAninch JW, Carroll PR, Armenakas NA, Lee P. Renal gunshot wounds: methods of salvage and reconstruction[J]. J Trauma, 1993; 35(2): 279-283.

1. 王增军, 睦元庚, 吴宏飞, 王成标, 尤国才, 程双管. 186例外伤性肾损伤的诊治总结[J]. 中华泌尿外科杂志, 2001; 22(6): 353～355.
2. 王正国, 向勇, 金锡御, 何能前. 首届全国交通事故伤学术会议纪要[J]. 中华创伤杂志, 1993; 9(1): 65～67.
3. 阮元峰, 刘迎娣. 58例重度肾损伤切肾原因分析[J]. 临床泌尿外科杂志, 1999; 14(8): 333～335.
4. 何梓铭. 努力提高肾损伤诊治水平[J]. 创伤外科杂志, 2001; 3(4): 241～243.
5. Baker SP. Injury severity score [J]. J Trauma, 1974; 14: 187.
6. Baverstock R, Simons R, Mcloughin M. Severe blunt renal trauma: a 7-year retrospective review from a provincial trauma cetre[J]. Can J Urol, 2001; 8(5): 1372-1376.
7. Wang ZJ, Mu YG, Wu HF, Wang CB, You GC, Cheng SG. Summarization of the diagnosis and management of 186 cases of renal trauma[J]. Chin J Urol, 2001; 22(6): 353-355.
8. Wang ZG, Xiang Y, Jin XY, He NQ. The summary of first fall due national conference on traffic trauma[J]. Chin J Trauma, 1993; 9(1): 65-67.
9. Ruan YF, Liu YD. An analysis of renal removal in 58 cases of severe renal injuries[J]. Clin J Urol, 1999; 14(8): 333-335.
10. He ZM. Improving the level of diagnosis and management in renal injury[J]. J Trauma Surg, 2001; 3(4): 241-243.
11. Matsuura T, Nose K, Tahara H, Hara Y, Amasaki N, Nishioka T, Esa A, Kunikata S, Akiyama T, Kurita T. Evaluation of the management of blunt renal trauma and indication for surgery[J]. Nippon Hinyokika Gakkai Zasshi, 2002; 93(4): 511-518.
12. Santucci RA, McAninch JW, Safir M, Mario LA, Service S, Segal MR. Validation of the American Association for the surgery of Trauma Organ injury severity scale for the kidney[J]. J Trauma, 2001; 50(2): 195-200.
13. McAninch JW, Carroll PR, Klosterman PW, Dixon CM, Greenblatt MN.Renal reconstruction after inury[J]. J Urol, 1991;145(7): 932-933.
14. Wessells H, McAninch JW, Meyer A, Bruce J.Criteria for nonoperative treatment of significant penetrating renal lacerations[J]. J Urol, 1997; 157(1): 24-27.
15. McAninch JW, Carroll PR, Armenakas NA, Lee P. Renal gunshot wounds: methods of salvage and reconstruction[J]. J Trauma, 1993; 35(2): 279-283.

Chinese Journal of Evidence-Based Medicine

Factors Influencing the Management and Prognosis of Renal Injury

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