{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:34:52Z","timestamp":1761766492034,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,1,30]],"date-time":"2019-01-30T00:00:00Z","timestamp":1548806400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Limited data Exists ? on the Australian epidemiology of renal trauma, with very few studies published in the literature. The authors aim to detail the trends of renal trauma in the coastal city of the Gold Coast.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective data collection yielded 81 patients who sustained renal trauma from our 3\u2010year period. Data included information on demographics, mechanism, American Association for the Surgery of Trauma (AAST) grade, presence of haematuria, associated injuries, management, and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Male patients accounted for 83% (<jats:italic>n<\/jats:italic> = 67) of cases, and the average age of all injuries was 36 years. Low\u2010grade AAST Grade I\u2013III injuries comprised of 76% (<jats:italic>n<\/jats:italic> = 62) of injuries, AAST Grade IV contributed to 20% (<jats:italic>n<\/jats:italic> = 16) and 4% (<jats:italic>n<\/jats:italic> = 3) of injuries were AAST Grade V. The most common mechanism of injury was road accidents accounting for 35% (<jats:italic>n<\/jats:italic> = 28) followed by fall\u2010related injuries (26%, <jats:italic>n<\/jats:italic> = 21). Other mechanisms included sport\u2010related (13.5%, <jats:italic>n<\/jats:italic> = 11), non\u2010motorized bicycle injuries (8.5%, <jats:italic>n<\/jats:italic> = 7), alleged assault (8.5%, <jats:italic>n<\/jats:italic> = 7), pedestrian injuries (5%, <jats:italic>n<\/jats:italic> = 4) and horse\u2010related injuries (2%, <jats:italic>n<\/jats:italic> = 2). Ninety\u2010six percent (<jats:italic>n<\/jats:italic> = 78) of kidney injuries were managed conservatively. Of the patients requiring intervention, all were AAST Grade V kidney injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Males accounted for the majority of renal trauma cases, similar to the 3:1 ratio of male\u2010to\u2010female injuries found in other studies. In line with other studies, renal trauma reviewed on the Gold Coast also revealed road trauma as the leading cause, closely followed by falls. The majority of high\u2010grade renal trauma was managed conservatively.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15026","type":"journal-article","created":{"date-parts":[[2019,1,30]],"date-time":"2019-01-30T23:33:15Z","timestamp":1548891195000},"page":"339-344","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Renal trauma: a 3\u2010year audit from a Gold Coast trauma centre"],"prefix":"10.1111","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6979-4414","authenticated-orcid":false,"given":"Margaret M.","family":"Mansbridge","sequence":"first","affiliation":[{"name":"Department of Surgery Gold Coast University Hospital  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Ryan","sequence":"additional","affiliation":[{"name":"Department of Surgery Gold Coast University Hospital  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David C.","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Radiology Princess Alexandra Hospital  Brisbane Queensland Australia"},{"name":"School of Medicine Griffith University  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Wullschleger","sequence":"additional","affiliation":[{"name":"Department of Surgery Gold Coast University Hospital  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,30]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_6_2_1","DOI":"10.1016\/j.jemermed.2013.03.043"},{"doi-asserted-by":"publisher","key":"e_1_2_6_3_1","DOI":"10.1111\/bju.12003"},{"doi-asserted-by":"publisher","key":"e_1_2_6_4_1","DOI":"10.1111\/j.1445-1433.2004.03137.x"},{"doi-asserted-by":"publisher","key":"e_1_2_6_5_1","DOI":"10.1016\/j.jamcollsurg.2008.06.342"},{"doi-asserted-by":"publisher","key":"e_1_2_6_6_1","DOI":"10.1007\/s00068-015-0537-5"},{"doi-asserted-by":"publisher","key":"e_1_2_6_7_1","DOI":"10.1111\/j.1464-4096.2004.04820.x"},{"doi-asserted-by":"publisher","key":"e_1_2_6_8_1","DOI":"10.1016\/j.juro.2012.03.003"},{"key":"e_1_2_6_9_1","first-page":"2276","article-title":"Analysis of renal trauma in adult patients: a 6\u2010year own experiences of trauma center","volume":"12","author":"Zabkowski T","year":"2015","journal-title":"Urology"},{"doi-asserted-by":"publisher","key":"e_1_2_6_10_1","DOI":"10.1016\/j.urology.2016.11.025"},{"doi-asserted-by":"publisher","key":"e_1_2_6_11_1","DOI":"10.1016\/j.juro.2007.03.160"},{"doi-asserted-by":"publisher","key":"e_1_2_6_12_1","DOI":"10.1016\/j.injury.2015.02.008"},{"unstructured":"European Association of Urology. Urological trauma. [Updated 2018; Cited 14 July 2018.] Available from URL:http:\/\/uroweb.org\/guideline\/urological-trauma\/#4","key":"e_1_2_6_13_1"},{"doi-asserted-by":"publisher","key":"e_1_2_6_14_1","DOI":"10.1016\/j.eururo.2014.12.034"},{"doi-asserted-by":"publisher","key":"e_1_2_6_15_1","DOI":"10.1016\/j.juro.2015.07.100"},{"doi-asserted-by":"publisher","key":"e_1_2_6_16_1","DOI":"10.1001\/jamasurg.2013.2747"},{"doi-asserted-by":"publisher","key":"e_1_2_6_17_1","DOI":"10.1016\/j.afju.2014.11.006"},{"key":"e_1_2_6_18_1","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1177\/000313481808400333","article-title":"Management of major blunt renal injury: a twelve\u2010year review at an urban level I trauma hospital","volume":"84","author":"Joseph DK","year":"2018","journal-title":"Am. Surg."},{"key":"e_1_2_6_19_1","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1177\/000313481708300214","article-title":"Five\u2010year retrospective review of blunt renal injuries at a level I trauma center","volume":"83","author":"Burns J","year":"2017","journal-title":"Am. Surg."}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.15026","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.15026","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.15026","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.15026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T23:09:59Z","timestamp":1694387399000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.15026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,30]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1111\/ans.15026"],"URL":"https:\/\/doi.org\/10.1111\/ans.15026","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"type":"print","value":"1445-1433"},{"type":"electronic","value":"1445-2197"}],"subject":[],"published":{"date-parts":[[2019,1,30]]},"assertion":[{"value":"2018-07-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}