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 interventionsThe 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 cutoff