Cargando…

Outcomes of Renal Trauma in Indian Urban Tertiary Healthcare Centres: A Multicentre Cohort Study

BACKGROUND: Renal trauma is present in 0.5–5% of patients admitted for trauma. Advancements in radiologic imaging and minimal-invasive techniques have led to decreased need for surgical intervention. We used a large trauma cohort to characterise renal trauma patients, their management and outcomes....

Descripción completa

Detalles Bibliográficos
Autores principales: Sarang, Bhakti, Raykar, Nakul, Gadgil, Anita, Mishra, Gunjan, Wärnberg, Martin Gerdin, Rattan, Amulya, Khajanchi, Monty, Soni, Kapil Dev, Mohan, Monali, Sharma, Naveen, Kumar, Vineet, KV, Deepa, Roy, Nobhojit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8572839/
https://www.ncbi.nlm.nih.gov/pubmed/34420094
http://dx.doi.org/10.1007/s00268-021-06293-z
_version_ 1784595298245410816
author Sarang, Bhakti
Raykar, Nakul
Gadgil, Anita
Mishra, Gunjan
Wärnberg, Martin Gerdin
Rattan, Amulya
Khajanchi, Monty
Soni, Kapil Dev
Mohan, Monali
Sharma, Naveen
Kumar, Vineet
KV, Deepa
Roy, Nobhojit
author_facet Sarang, Bhakti
Raykar, Nakul
Gadgil, Anita
Mishra, Gunjan
Wärnberg, Martin Gerdin
Rattan, Amulya
Khajanchi, Monty
Soni, Kapil Dev
Mohan, Monali
Sharma, Naveen
Kumar, Vineet
KV, Deepa
Roy, Nobhojit
author_sort Sarang, Bhakti
collection PubMed
description BACKGROUND: Renal trauma is present in 0.5–5% of patients admitted for trauma. Advancements in radiologic imaging and minimal-invasive techniques have led to decreased need for surgical intervention. We used a large trauma cohort to characterise renal trauma patients, their management and outcomes. METHODS: We analysed “Towards Improved Trauma Care Outcomes in India” cohort from four urban tertiary public hospitals in India between 1st September 2013 and 31st December 2015. The data of patients with renal trauma were extracted using International Classification of Diseases 10 codes and analysed for demographic and clinical details. RESULTS: A total of 16,047 trauma patients were included in this cohort. Abdominal trauma comprised 1119 (7%) cases, of which 144 (13%) had renal trauma. Renal trauma was present in 1% of all the patients admitted for trauma. The mean age was 28 years (SD-14.7). A total of 119 (83%) patients were male. Majority (93%) were due to blunt injuries. Road traffic injuries were the most common mechanism (53%) followed by falls (29%). Most renal injuries (89%) were associated with other organ injuries. Seven of the 144 (5%) patients required nephrectomy. Three patients had grade V trauma; all underwent nephrectomy. The 30-day in-hospital mortality, in patients with renal trauma, was 17% (24/144). CONCLUSION: Most renal trauma patients were managed nonoperatively. 89% of patients with renal trauma had concomitant injuries. The renal trauma profile from this large cohort may be generalisable to urban contexts in India and other low- and middle-income countries.
format Online
Article
Text
id pubmed-8572839
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Springer International Publishing
record_format MEDLINE/PubMed
spelling pubmed-85728392021-11-15 Outcomes of Renal Trauma in Indian Urban Tertiary Healthcare Centres: A Multicentre Cohort Study Sarang, Bhakti Raykar, Nakul Gadgil, Anita Mishra, Gunjan Wärnberg, Martin Gerdin Rattan, Amulya Khajanchi, Monty Soni, Kapil Dev Mohan, Monali Sharma, Naveen Kumar, Vineet KV, Deepa Roy, Nobhojit World J Surg Surgery in Low and Middle Income Countries BACKGROUND: Renal trauma is present in 0.5–5% of patients admitted for trauma. Advancements in radiologic imaging and minimal-invasive techniques have led to decreased need for surgical intervention. We used a large trauma cohort to characterise renal trauma patients, their management and outcomes. METHODS: We analysed “Towards Improved Trauma Care Outcomes in India” cohort from four urban tertiary public hospitals in India between 1st September 2013 and 31st December 2015. The data of patients with renal trauma were extracted using International Classification of Diseases 10 codes and analysed for demographic and clinical details. RESULTS: A total of 16,047 trauma patients were included in this cohort. Abdominal trauma comprised 1119 (7%) cases, of which 144 (13%) had renal trauma. Renal trauma was present in 1% of all the patients admitted for trauma. The mean age was 28 years (SD-14.7). A total of 119 (83%) patients were male. Majority (93%) were due to blunt injuries. Road traffic injuries were the most common mechanism (53%) followed by falls (29%). Most renal injuries (89%) were associated with other organ injuries. Seven of the 144 (5%) patients required nephrectomy. Three patients had grade V trauma; all underwent nephrectomy. The 30-day in-hospital mortality, in patients with renal trauma, was 17% (24/144). CONCLUSION: Most renal trauma patients were managed nonoperatively. 89% of patients with renal trauma had concomitant injuries. The renal trauma profile from this large cohort may be generalisable to urban contexts in India and other low- and middle-income countries. Springer International Publishing 2021-08-21 2021 /pmc/articles/PMC8572839/ /pubmed/34420094 http://dx.doi.org/10.1007/s00268-021-06293-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Surgery in Low and Middle Income Countries
Sarang, Bhakti
Raykar, Nakul
Gadgil, Anita
Mishra, Gunjan
Wärnberg, Martin Gerdin
Rattan, Amulya
Khajanchi, Monty
Soni, Kapil Dev
Mohan, Monali
Sharma, Naveen
Kumar, Vineet
KV, Deepa
Roy, Nobhojit
Outcomes of Renal Trauma in Indian Urban Tertiary Healthcare Centres: A Multicentre Cohort Study
title Outcomes of Renal Trauma in Indian Urban Tertiary Healthcare Centres: A Multicentre Cohort Study
title_full Outcomes of Renal Trauma in Indian Urban Tertiary Healthcare Centres: A Multicentre Cohort Study
title_fullStr Outcomes of Renal Trauma in Indian Urban Tertiary Healthcare Centres: A Multicentre Cohort Study
title_full_unstemmed Outcomes of Renal Trauma in Indian Urban Tertiary Healthcare Centres: A Multicentre Cohort Study
title_short Outcomes of Renal Trauma in Indian Urban Tertiary Healthcare Centres: A Multicentre Cohort Study
title_sort outcomes of renal trauma in indian urban tertiary healthcare centres: a multicentre cohort study
topic Surgery in Low and Middle Income Countries
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8572839/
https://www.ncbi.nlm.nih.gov/pubmed/34420094
http://dx.doi.org/10.1007/s00268-021-06293-z
work_keys_str_mv AT sarangbhakti outcomesofrenaltraumainindianurbantertiaryhealthcarecentresamulticentrecohortstudy
AT raykarnakul outcomesofrenaltraumainindianurbantertiaryhealthcarecentresamulticentrecohortstudy
AT gadgilanita outcomesofrenaltraumainindianurbantertiaryhealthcarecentresamulticentrecohortstudy
AT mishragunjan outcomesofrenaltraumainindianurbantertiaryhealthcarecentresamulticentrecohortstudy
AT warnbergmartingerdin outcomesofrenaltraumainindianurbantertiaryhealthcarecentresamulticentrecohortstudy
AT rattanamulya outcomesofrenaltraumainindianurbantertiaryhealthcarecentresamulticentrecohortstudy
AT khajanchimonty outcomesofrenaltraumainindianurbantertiaryhealthcarecentresamulticentrecohortstudy
AT sonikapildev outcomesofrenaltraumainindianurbantertiaryhealthcarecentresamulticentrecohortstudy
AT mohanmonali outcomesofrenaltraumainindianurbantertiaryhealthcarecentresamulticentrecohortstudy
AT sharmanaveen outcomesofrenaltraumainindianurbantertiaryhealthcarecentresamulticentrecohortstudy
AT kumarvineet outcomesofrenaltraumainindianurbantertiaryhealthcarecentresamulticentrecohortstudy
AT kvdeepa outcomesofrenaltraumainindianurbantertiaryhealthcarecentresamulticentrecohortstudy
AT roynobhojit outcomesofrenaltraumainindianurbantertiaryhealthcarecentresamulticentrecohortstudy
AT outcomesofrenaltraumainindianurbantertiaryhealthcarecentresamulticentrecohortstudy