World Journal of Surgery

, Volume 26, Issue 4, pp 416–419

Factors Affecting Management and Outcome in Blunt Renal Injury

  • Ramsay L. Kuo
  • Soumitra R. Eachempati
  • Mark J. Makhuli
  • R. Lawrence Reed II

DOI: 10.1007/s00268-001-0241-y

Cite this article as:
Kuo, R., Eachempati, S., Makhuli, M. et al. World J Surg (2002) 26: 416. doi:10.1007/s00268-001-0241-y

Blunt renal trauma patients often have multiple injuries. We retrospectively analyzed factors that could be predictive of outcome and the need for nephrectomy in this population. Blunt renal injury patients admitted to a Level I trauma center from January 1989 to July 1997 were identified and their charts reviewed. Multiple factors were examined. Using logistic regression analysis, factors predictive of mortality and the need for nephrectomy were determined. Of 11,847 trauma patients admitted, 95 (0.80%) suffered blunt renal injury. Mean age and ISS were 31.4 and 23.7, respectively. The number of deaths and nephrectomies was 11 and 10, respectively. Higher renal injury grade, as well as higher ISS values and 24-hour transfusion needs, directly correlated with the need for nephrectomy. Greater age, higher ISS, and higher 24-hour transfusion requirements lowered probability for survival. Patients with blunt renal injuries often sustain multiple injuries. The grade of renal injury, the overall injury severity of the patient, and the requirement of blood transfusion are the primary factors in determining the patient’s need for nephrectomy and overall outcome.

Copyright information

© 2002 Société Internationale de Chiru rgie

Authors and Affiliations

  • Ramsay L. Kuo
    • 1
  • Soumitra R. Eachempati
    • 2
  • Mark J. Makhuli
    • 1
  • R. Lawrence Reed II
    • 3
  1. 1.Department of Surgery, Division of Urology, Duke University Medical Center, Durham, North Carolina 27710, USAUSA
  2. 2.Department of Surgery, New York-Presbyterian Hospital, Weill Medical College of Cornell University, 525 East 68th Street, New York, New York 10021, USAUSA
  3. 3.Department of Surgery, Loyola University Health System, 2160 South First Avenue, Maywood, Illinois 60153,USAUSA

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