The American Association for the Surgery of Trauma renal injury grading scale: Implications of the 2018 revisions for injury reclassification and predicting bleeding interventions.
Keihani S, Rogers DM, Putbrese BE, Anderson RE, Stoddard GJ, Nirula R, Luo-Owen X, Mukherjee K, Morris BJ, Majercik S, Piotrowski J, Dodgion CM, Schwartz I, Elliott SP, DeSoucy ES, Zakaluzny S, Sherwood BG, Erickson BA, Baradaran N, Breyer BN, Fick CN, Smith BP, Okafor BU, Askari R, Miller BD, Santucci RA, Carrick MM, Allen L, Norwood S, Hewitt T, Burks FN, Heilbrun ME, Gross JA, Myers JB. The American Association for the Surgery of Trauma renal injury grading scale: Implications of the 2018 revisions for injury reclassification and predicting bleeding interventions. Journal Of Trauma And Acute Care Surgery 2019, 88: 357-365. PMID: 31876692, DOI: 10.1097/ta.0000000000002572.Peer-Reviewed Original ResearchMeSH KeywordsAdultClassificationFemaleHemorrhageHumansInjury Severity ScoreKidneyMaleTomography, X-Ray ComputedConceptsHigh-grade renal traumaAAST grading systemComputed tomography scanGrading systemAAST gradingTomography scanMixed-effects multivariable logistic regressionInitial computed tomography (CT) scanLevel 1 trauma centerGrade IV injuriesGrade V injuriesNon-operative managementMultivariable logistic regressionSurgery of TraumaImportant radiologic findingsAmerican AssociationRenal traumaRadiologic findingsTrauma centerGrade IIIInjury patternsGrade reclassificationEpidemiological studiesLevel IIIControl interventionsOptimal timing of delayed excretory phase computed tomography scan for diagnosis of urinary extravasation after high-grade renal trauma
Keihani S, Putbrese BE, Rogers DM, Patel DP, Stoddard GJ, Hotaling JM, Nirula R, Luo-Owen X, Mukherjee K, Morris BJ, Majercik S, Piotrowski J, Dodgion CM, Schwartz I, Elliott SP, DeSoucy ES, Zakaluzny S, Sherwood BG, Erickson BA, Baradaran N, Breyer BN, Fick CN, Smith BP, Okafor BU, Askari R, Miller B, Santucci RA, Carrick MM, Kocik JF, Hewitt T, Burks FN, Heilbrun ME, Myers JB. Optimal timing of delayed excretory phase computed tomography scan for diagnosis of urinary extravasation after high-grade renal trauma. Journal Of Trauma And Acute Care Surgery 2019, 86: 274-281. PMID: 30605143, DOI: 10.1097/ta.0000000000002098.Peer-Reviewed Original ResearchConceptsHigh-grade renal traumaInitial CT scanUrinary extravasationRenal collecting system injuryRenal traumaExcretory phaseCT scanSystem injuryTomography scanOptimal timingPhase CT scansInitial CTMedian timeLevel ICutoff pointExtravasationPoisson regressionLevel IIIAccurate diagnosisDiagnosisPhase timingAccurate gradingTraumaScansPatients