Blunt Renal Trauma: A 6-Year Retrospective Review in a Single Institution
<i>Background and Objectives</i>: Renal trauma is a significant consequence of both blunt and penetrating injuries, with management strategies having continuously evolved over recent years. This management requires careful clinical evaluation to balance the need for operative or non-oper...
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MDPI AG
2025-03-01
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| author | Anda Catinca Hogea Ioan Scarneciu Marius Alexandru Moga Simona Grigorescu Alina Bisoc Mircea Daniel Hogea Rosana Mihaela Manea |
| author_facet | Anda Catinca Hogea Ioan Scarneciu Marius Alexandru Moga Simona Grigorescu Alina Bisoc Mircea Daniel Hogea Rosana Mihaela Manea |
| author_sort | Anda Catinca Hogea |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: Renal trauma is a significant consequence of both blunt and penetrating injuries, with management strategies having continuously evolved over recent years. This management requires careful clinical evaluation to balance the need for operative or non-operative treatment. This is especially critical in the context of the increasing trend of non-operative management for stable renal injuries, largely due to advances in imaging, improved hemodynamic stabilization, and better outcomes with conservative approaches. The main objectives of this study were to evaluate the epidemiology of renal trauma, the mechanism of injury, and the outcomes of management strategies in blunt renal trauma and determine their influence on morbidity and mortality rates. <i>Materials and Methods</i>: A retrospective review was conducted with patients diagnosed with renal trauma in the Emergency Clinical County Hospital in Brasov, Romania from 1.01.2018 to 31.12.2023. Data were collected from medical records. <i>Results</i>: A total of 89 patients with blunt renal trauma were identified. The most frequent renal injuries, according to AAST classification, were grade 2 in 34.83% of the patients and grade 1 in 26.97% of the patients. Most of them, 84.27%, were managed conservatively. The overall mortality rate was 12.36%. <i>Conclusions</i>: This review highlights the importance of personalized management strategies for renal trauma, especially emphasizing conservative treatment for hemodynamically stable patients. Our findings contribute to understanding renal trauma outcomes and should improve future clinical practices and guidelines in renal trauma management. Further studies should explore long-term outcomes and optimize treatment protocols. |
| format | Article |
| id | doaj-art-ef51c1e5159c4ae68fbc841629e052ef |
| institution | DOAJ |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj-art-ef51c1e5159c4ae68fbc841629e052ef2025-08-20T03:13:48ZengMDPI AGMedicina1010-660X1648-91442025-03-0161462110.3390/medicina61040621Blunt Renal Trauma: A 6-Year Retrospective Review in a Single InstitutionAnda Catinca Hogea0Ioan Scarneciu1Marius Alexandru Moga2Simona Grigorescu3Alina Bisoc4Mircea Daniel Hogea5Rosana Mihaela Manea6Faculty of Medicine, Transilvania University of Brasov, 500019 Brasov, RomaniaFaculty of Medicine, Transilvania University of Brasov, 500019 Brasov, RomaniaFaculty of Medicine, Transilvania University of Brasov, 500019 Brasov, RomaniaFaculty of Medicine, Transilvania University of Brasov, 500019 Brasov, RomaniaFaculty of Medicine, Transilvania University of Brasov, 500019 Brasov, RomaniaFaculty of Medicine, Transilvania University of Brasov, 500019 Brasov, RomaniaFaculty of Medicine, Transilvania University of Brasov, 500019 Brasov, Romania<i>Background and Objectives</i>: Renal trauma is a significant consequence of both blunt and penetrating injuries, with management strategies having continuously evolved over recent years. This management requires careful clinical evaluation to balance the need for operative or non-operative treatment. This is especially critical in the context of the increasing trend of non-operative management for stable renal injuries, largely due to advances in imaging, improved hemodynamic stabilization, and better outcomes with conservative approaches. The main objectives of this study were to evaluate the epidemiology of renal trauma, the mechanism of injury, and the outcomes of management strategies in blunt renal trauma and determine their influence on morbidity and mortality rates. <i>Materials and Methods</i>: A retrospective review was conducted with patients diagnosed with renal trauma in the Emergency Clinical County Hospital in Brasov, Romania from 1.01.2018 to 31.12.2023. Data were collected from medical records. <i>Results</i>: A total of 89 patients with blunt renal trauma were identified. The most frequent renal injuries, according to AAST classification, were grade 2 in 34.83% of the patients and grade 1 in 26.97% of the patients. Most of them, 84.27%, were managed conservatively. The overall mortality rate was 12.36%. <i>Conclusions</i>: This review highlights the importance of personalized management strategies for renal trauma, especially emphasizing conservative treatment for hemodynamically stable patients. Our findings contribute to understanding renal trauma outcomes and should improve future clinical practices and guidelines in renal trauma management. Further studies should explore long-term outcomes and optimize treatment protocols.https://www.mdpi.com/1648-9144/61/4/621renal traumablunt injurymanagementoutcomesretrospective study |
| spellingShingle | Anda Catinca Hogea Ioan Scarneciu Marius Alexandru Moga Simona Grigorescu Alina Bisoc Mircea Daniel Hogea Rosana Mihaela Manea Blunt Renal Trauma: A 6-Year Retrospective Review in a Single Institution Medicina renal trauma blunt injury management outcomes retrospective study |
| title | Blunt Renal Trauma: A 6-Year Retrospective Review in a Single Institution |
| title_full | Blunt Renal Trauma: A 6-Year Retrospective Review in a Single Institution |
| title_fullStr | Blunt Renal Trauma: A 6-Year Retrospective Review in a Single Institution |
| title_full_unstemmed | Blunt Renal Trauma: A 6-Year Retrospective Review in a Single Institution |
| title_short | Blunt Renal Trauma: A 6-Year Retrospective Review in a Single Institution |
| title_sort | blunt renal trauma a 6 year retrospective review in a single institution |
| topic | renal trauma blunt injury management outcomes retrospective study |
| url | https://www.mdpi.com/1648-9144/61/4/621 |
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