Evidence map›Paper›PMID 31254097›Full record

ArticleWorld journal of urology2020

Early discharge in selected patients with low-grade renal trauma.

Lucas Freton, Lucie-Marie Scailteux, Marine Hutin, Jonathan Olivier, Quentin Langouet, Marina Ruggiero, Ines Dominique, Clémentine Millet, Sébastien Bergerat, Paul Panayatopoulos and 23 more

Abstract readComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Article in World journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors.

Lucas FretonUrology, University of Rennes, Rennes, France. lucas.freton@gmail.com.ORCID http://orcid.org/0000-0001-5624-1952
Lucie-Marie ScailteuxUniv Rennes, CHU Rennes, REPERES [(Recherche en Pharmaco-épidémiologie et Recours aux Soins)], EA 7449, 35000, Rennes, France.
Marine HutinUrology, University of Montpellier, Montpellier, France.
Jonathan OlivierUrology, University of Lille, Lille, France.
Quentin LangouetUrology, University of Tours, Tours, France.
Marina RuggieroUrology, University of Paris Sud, CHU Bicetre, Paris, France.
Ines DominiqueUrology, University of Lyon, Lyon, France.
Clémentine MilletUrology, University of Clermont-Ferrand, Clermont-Ferrand, France.
Sébastien BergeratUrology, University of Strasbourg, Strasbourg, France.
Paul PanayatopoulosUrology, University of Angers, Angers, France.
Reem BetariUrology, University of Amiens, Amiens, France.
Xavier MatillonUrology, University of Lyon, Lyon, France.
Ala ChebbiUrology, University of Rouen, Rouen, France.
Thomas CaesUrology, University of Lille, Lille, France.
Pierre-Marie PatardUrology, University of Toulouse, Toulouse, France.
Nicolas SzablaUrology, University of Caen, Caen, France.
Nicolas BrichartUrology, University of Orléans, Orléans, France.
Axelle BoehmUrology, University of Tours, Tours, France.
Laura SabourinUrology, University of Clermont-Ferrand, Clermont-Ferrand, France.
Kerem GuleryuzUrology, University of Caen, Caen, France.
Charles DarianeUrology, University of Paris Descartes, Paris, France.
Cédric LebacleUrology, University of Paris Sud, CHU Bicetre, Paris, France.
Jérome RizkUrology, University of Lille, Lille, France.
Alexandre GrynUrology, University of Toulouse, Toulouse, France.
François-Xavier MadecUrology, University of Nantes, Nantes, France.
François-Xavier NouhaudUrology, University of Rouen, Rouen, France.
Xavier RodUrology, University of Nantes, Nantes, France.
Emmanuel OgerUniv Rennes, CHU Rennes, REPERES [(Recherche en Pharmaco-épidémiologie et Recours aux Soins)], EA 7449, 35000, Rennes, France.
Gaelle FiardUrology, University of Grenoble, Grenoble, France.
Karim BensalahUrology, University of Rennes, Rennes, France.
Benjamin PradereUrology, University of Tours, Tours, France.
Benoit PeyronnetUrology, University of Rennes, Rennes, France.
TRAUMAFUF Collaborative Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this study was to assess whether early discharge could be non-inferior to inpatient management in selected patients with low-grade renal trauma (AAST grades 1-3). MATERIALS AND

methodsA retrospective national multicenter study was conducted including all patients who presented with renal trauma at 17 hospitals between 2005 and 2015. Exclusion criteria were iatrogenic and AAST grades 4 and 5 trauma, non-conservative initial management, Hb < 10 g/dl or transfusion within the first 24 h, and patients with concomitant injuries. Patients were divided into two groups according to the length of hospital stay: ≤ 48 h (early discharge), and > 48 h (inpatient). The primary outcome was "Intervention" defined as any interventional procedure needed within the first 30 days. A Stabilized Inverse Probability of Treatment Weighting (SIPTW) propensity score based binary response model was used to estimate risk difference.

resultsOut of 1764 patients with renal trauma, 311 were included in the analysis (44 in the early discharge and 267 in the inpatient group). In the early discharge group, only one patient required an intervention within the first 30 days vs. 10 in the inpatient group (3.7% vs. 5.2%; p = 0.99). Adjusted analysis using SIPTW propensity score showed a risk difference of - 2.8% [- 9.3% to + 3.7%] of "interventions" between the two groups meeting the non-inferiority criteria.

conclusionIn a highly selected cohort, early discharge management of low-grade renal trauma was not associated with an increased risk of early "intervention" compared to inpatient management. Further prospective randomized controlled trials are needed to confirm these findings.

Indexed as

AdolescentAdultChildFemaleHumansInjury Severity ScoreKidneyLength of StayMalePatient DischargeRetrospective StudiesTime FactorsWounds and InjuriesComplicationManagementOutpatientPropensity scoreRenal trauma

Identifiers

PMID31254097

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.