High grade renal trauma due to blunt injury in children: do all require intervention?
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal Brasileiro de Nefrologia |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002019000200172 |
Resumo: | ABSTRACT Introduction: The aim of this study was to analyze the presentation and management of major grade renal trauma in children. Method: A retrospective study was performed including data collected from the patients who were admitted in Pediatric surgery with major grade renal injury (grade 3 and more) from January 2015 to August 2018. Demography, clinical parameters, management, duration of hospital stay and final outcome were noted. Results: Out of 13 children (9 males and 4 females), with age range 2-12 years (mean of 8 years), reported self-fall was the commonest mode of injury followed by road traffic accident. The majority (10/13, 75%) had a right renal injury. Eight children had a grade IV injury, one had a grade V injury, and four children had grade III injury. Duration of hospital stay varied from 3 to 28 (mean of 11.7) days. Three children required blood transfusion. One child required image guided aspiration twice and two required pigtail insertion for perinephric collection. All the 13 children improved without readmission or need for any other surgical intervention. Conclusion: Children with major grade renal trauma due to blunt injury can be successfully managed without surgical intervention and minimal intervention may only be needed in select situations. |
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High grade renal trauma due to blunt injury in children: do all require intervention?Wounds, NonpenetratingAccidents, TrafficKidneyPediatricsTreatment OutcomeConservative TreatmentABSTRACT Introduction: The aim of this study was to analyze the presentation and management of major grade renal trauma in children. Method: A retrospective study was performed including data collected from the patients who were admitted in Pediatric surgery with major grade renal injury (grade 3 and more) from January 2015 to August 2018. Demography, clinical parameters, management, duration of hospital stay and final outcome were noted. Results: Out of 13 children (9 males and 4 females), with age range 2-12 years (mean of 8 years), reported self-fall was the commonest mode of injury followed by road traffic accident. The majority (10/13, 75%) had a right renal injury. Eight children had a grade IV injury, one had a grade V injury, and four children had grade III injury. Duration of hospital stay varied from 3 to 28 (mean of 11.7) days. Three children required blood transfusion. One child required image guided aspiration twice and two required pigtail insertion for perinephric collection. All the 13 children improved without readmission or need for any other surgical intervention. Conclusion: Children with major grade renal trauma due to blunt injury can be successfully managed without surgical intervention and minimal intervention may only be needed in select situations.Sociedade Brasileira de Nefrologia2019-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002019000200172Brazilian Journal of Nephrology v.41 n.2 2019reponame:Jornal Brasileiro de Nefrologiainstname:Sociedade Brasileira de Nefrologia (SBN)instacron:SBN10.1590/2175-8239-jbn-2018-0186info:eu-repo/semantics/openAccessGovindarajan,Krishna KumarUtagi,MallikarjunNaredi,Bikash KumarJindal,BibekanandSambandan,KumaravelSubramaniam,Deepakbharathieng2019-07-29T00:00:00Zoai:scielo:S0101-28002019000200172Revistahttp://www.bjn.org.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||jbn@sbn.org.br2175-82390101-2800opendoar:2019-07-29T00:00Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN)false |
dc.title.none.fl_str_mv |
High grade renal trauma due to blunt injury in children: do all require intervention? |
title |
High grade renal trauma due to blunt injury in children: do all require intervention? |
spellingShingle |
High grade renal trauma due to blunt injury in children: do all require intervention? Govindarajan,Krishna Kumar Wounds, Nonpenetrating Accidents, Traffic Kidney Pediatrics Treatment Outcome Conservative Treatment |
title_short |
High grade renal trauma due to blunt injury in children: do all require intervention? |
title_full |
High grade renal trauma due to blunt injury in children: do all require intervention? |
title_fullStr |
High grade renal trauma due to blunt injury in children: do all require intervention? |
title_full_unstemmed |
High grade renal trauma due to blunt injury in children: do all require intervention? |
title_sort |
High grade renal trauma due to blunt injury in children: do all require intervention? |
author |
Govindarajan,Krishna Kumar |
author_facet |
Govindarajan,Krishna Kumar Utagi,Mallikarjun Naredi,Bikash Kumar Jindal,Bibekanand Sambandan,Kumaravel Subramaniam,Deepakbharathi |
author_role |
author |
author2 |
Utagi,Mallikarjun Naredi,Bikash Kumar Jindal,Bibekanand Sambandan,Kumaravel Subramaniam,Deepakbharathi |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Govindarajan,Krishna Kumar Utagi,Mallikarjun Naredi,Bikash Kumar Jindal,Bibekanand Sambandan,Kumaravel Subramaniam,Deepakbharathi |
dc.subject.por.fl_str_mv |
Wounds, Nonpenetrating Accidents, Traffic Kidney Pediatrics Treatment Outcome Conservative Treatment |
topic |
Wounds, Nonpenetrating Accidents, Traffic Kidney Pediatrics Treatment Outcome Conservative Treatment |
description |
ABSTRACT Introduction: The aim of this study was to analyze the presentation and management of major grade renal trauma in children. Method: A retrospective study was performed including data collected from the patients who were admitted in Pediatric surgery with major grade renal injury (grade 3 and more) from January 2015 to August 2018. Demography, clinical parameters, management, duration of hospital stay and final outcome were noted. Results: Out of 13 children (9 males and 4 females), with age range 2-12 years (mean of 8 years), reported self-fall was the commonest mode of injury followed by road traffic accident. The majority (10/13, 75%) had a right renal injury. Eight children had a grade IV injury, one had a grade V injury, and four children had grade III injury. Duration of hospital stay varied from 3 to 28 (mean of 11.7) days. Three children required blood transfusion. One child required image guided aspiration twice and two required pigtail insertion for perinephric collection. All the 13 children improved without readmission or need for any other surgical intervention. Conclusion: Children with major grade renal trauma due to blunt injury can be successfully managed without surgical intervention and minimal intervention may only be needed in select situations. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002019000200172 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002019000200172 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/2175-8239-jbn-2018-0186 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Nefrologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Nefrologia |
dc.source.none.fl_str_mv |
Brazilian Journal of Nephrology v.41 n.2 2019 reponame:Jornal Brasileiro de Nefrologia instname:Sociedade Brasileira de Nefrologia (SBN) instacron:SBN |
instname_str |
Sociedade Brasileira de Nefrologia (SBN) |
instacron_str |
SBN |
institution |
SBN |
reponame_str |
Jornal Brasileiro de Nefrologia |
collection |
Jornal Brasileiro de Nefrologia |
repository.name.fl_str_mv |
Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN) |
repository.mail.fl_str_mv |
||jbn@sbn.org.br |
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1752122065559748608 |