The associations between initial radiographic findings and interventions for renal hemorrhage after high-grade renal trauma: Results from the Multi-Institutional Genitourinary Trauma Study.
Keihani S, Putbrese BE, Rogers DM, Zhang C, 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. The associations between initial radiographic findings and interventions for renal hemorrhage after high-grade renal trauma: Results from the Multi-Institutional Genitourinary Trauma Study. Journal Of Trauma And Acute Care Surgery 2019, 86: 974-982. PMID: 31124895, DOI: 10.1097/ta.0000000000002254.Peer-Reviewed Original ResearchConceptsHigh-grade renal traumaVascular contrast extravasationInitial radiographic findingsRadiographic findingsCertain radiographic findingsRenal traumaLaceration sizeMixed-effects Poisson regressionRisk of interventionRenal angioembolizationContrast extravasationRenal injuryRenal hemorrhageUnivariable analysisMulticenter studySurgical packingPartial nephrectomyDeep lacerationsTomography scanMultivariable modelLevel IVEpidemiological studiesInjury mechanismLevel IOptimal cutoffOptimal 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