ArticleWorld journal of emergency surgery : WJES2020
Trends and outcomes of blunt renal trauma management: a nationwide cohort study in Japan.
Article in World journal of emergency surgery : WJES, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 22 citations in OpenAlex.
- Validation of the Japanese Association for the Surgery of Trauma Type 3 Subclassification of Renal Trauma Using the Japan Trauma Data Bank.International journal of urology : official journal of the Japanese Urological Association · 2026Article
- Article
- Comparison of the different versions of the abbreviated injury scale in the assessment of isolated head trauma severity.BMC public health · 2025Article
- Management and Outcomes of Blunt Renal Trauma: A Retrospective Analysis from a High-Volume Urban Emergency Department.Journal of clinical medicine · 2025Article
- Horseshoe Kidney Injury Managed With Percutaneous Nephrostomy for Urinoma: A Case Report.Cureus · 2025Article
- Analysis and approach to renal trauma: A five-year experience at a level I trauma centre in north India.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Article
- The Role of Interventional Radiology in Renal Trauma: A Narrative Review.Interventional radiology (Higashimatsuyama-shi (Japan) · 2025Review
- Bilateral Renal Infarction, a Rare Consequence of Blunt Renal Artery Injury: A Case Report.Clinical medicine insights. Case reports · 2025Article
- Complex Organ Injury Management in Abdominal Trauma: Case of a Heavy Iron Plate Accident.The American journal of case reports · 2024Article
- Evaluation of urinary extravasation after non-operative management of traumatic renal injury: a multi-center retrospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Observational
- Usefulness of resuscitative endovascular balloon occlusion of the aorta compared to aortic cross-clamping in severely injured trauma patients: Analysis from the Japan Trauma Data Bank.Acute medicine & surgeryArticle
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Authors and funding
13 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a paucity of information for predicting patient outcomes other than the American Association for the Surgery of Trauma (AAST) renal injury scale. The aim of this study was to evaluate the association between the patient characteristics and outcomes of patients with blunt renal trauma using a nationwide database in Japan.
methodsWe performed a retrospective analysis of the Japan Trauma Data Bank (JTDB) from 2004 to 2018. We identified patients with blunt renal trauma by AIS codes converted to AAST grades. We evaluated trends in patient characteristics and management and assessed factors associated with mortality and nephrectomy using a multivariable logistic regression analysis.
resultsWe identified 3550 patients with blunt renal trauma. Their median age was 43 years and 74.2% were male. Nephrectomy was performed in 3.8%, and the overall mortality rate was 9.5%. We found increasing trends in age and emergency abdominal angiography and decreasing trends in nephrectomy and mortality over the 15-year period. The following factors were associated with mortality: age ≥ 65 years (adjusted OR 3.36); pedestrian accident (adjusted OR 1.94); fall from height (adjusted OR 1.91); shock on arrival (adjusted OR 4.02); concomitant injuries to the head/neck (adjusted OR 3.14), pelvis/lower-extremity (adjusted OR 1.59), liver (adjusted OR 1.68), spleen (adjusted OR 1.45), and gastrointestinal tract (adjusted OR 1.90); AAST grades III-V (adjusted ORs 1.42, 2.16, and 5.55); and emergency abdominal angiography (adjusted OR 0.70). The following factors were associated with nephrectomy: shock on arrival (adjusted OR 1.98), concomitant injuries to the thorax (adjusted OR 0.46) and spleen (adjusted OR 2.07), AAST grades III, IV, and V (adjusted ORs 18.40, 113.89, and 468.17), and emergency abdominal angiography (adjusted OR 0.28).
conclusionsWe demonstrated that the AAST grade and emergency angiography were associated with mortality and nephrectomy in blunt renal trauma in the Japanese population.
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