ArticleUrology2018
Conservative Management of High-grade Renal Trauma Does Not Lead to Prolonged Hospital Stay.
Article in Urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
9 citing papers in PubMed, 20 citations in OpenAlex.
- The role of non-operative management for high-grade renal injuries.International urology and nephrology · 2025Article
- Renal Trauma: A 4-Year Retrospective Review of Injury Severity, Treatment Approaches, and Outcomes from a Polish Trauma Center.Clinics and practice · 2025Article
- Renal angioembolization vs. surgery for high-grade renal trauma: a nationwide comparative analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Trauma resulting in rare avulsion-type renal injury and lobe migration: An uncommon case report.Trauma case reports · 2024Article
- Predictive factors for nephrectomy in renal trauma; assessment of a 6-point score.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Observational
- Epidemiology and Management Trend of Renal Trauma: Results of a Nationwide Population-Based Study.Journal of Korean medical science · 2022Article
- Implementation of a Standardized Renal Trauma Protocol at a Level 1 Trauma Center: 7-Year Protocol and 10-Year Institutional Review.Research and reports in urology · 2022Article
- Article
- Early discharge in selected patients with low-grade renal trauma.World journal of urology · 2020Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo evaluate the effect of conservative management of high-grade renal trauma on length of hospitalization, we aim to describe characteristics of patients with high-grade renal trauma that are associated with an increased length of stay (LOS) and the effect of conservative vs surgical management on hospital LOS.
methodsA retrospective review of all patients who suffered unilateral high-grade renal trauma (grade 3 or higher) from September 1977 to August 2012 at San Francisco General Hospital in San Francisco, CA was performed. Patients' demographic information, mechanism of injury, injury grade, data about associated injuries, hospital LOS, and management were collected. Descriptive analysis was performed using chi-square, ordered logistic regression, and linear regression analysis. Multivariable analysis was performed using a Fine-Gray model of competing risks survival analysis, adjusting for trauma type, grade, surgery, associated injury, and complications.
resultsThe cohort consisted of 408 patients with high-grade unilateral renal trauma of which 257 patients underwent renal exploration. The adjusted multivariable analysis revealed that trauma type, injury grades, nongenitourinary surgery, associated injuries, and complications were associated with increased hospital LOS (P <.01 for all). Renal exploration compared to conservative management for high-grade renal trauma was not associated with an increased hospital LOS (P = .10).
conclusionThere is no significant difference between conservative and surgical management of high-grade renal trauma in terms of hospital LOS. Conservative management of high-grade renal trauma does not impact patients' length of hospitalization.
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