{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:30:28Z","timestamp":1787671828456,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the significance of renal dysfunction in the setting of American Association for the Surgery of Trauma (AAST) renal injuries and follow\u2010up patterns among renal trauma (RT) patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed a prospectively maintained database of patients admitted with traumatic renal injuries to a level I trauma center from 2020 to 2023. AAST grades I\u2013III were defined as low\u2010grade renal trauma (LGRT), and AAST grades IV\u2013V were defined as high\u2010grade renal trauma (HGRT). Primary outcomes were creatinine on admission and follow\u2010up. Secondary outcomes included pre\u2010\/post\u2010injury creatinine and AAST grade.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 285 patients identified with AAST renal injuries who survived hospitalization, 97 (34.0%) had an elevated admission creatinine (median 1.44 [IQR 1.30\u20131.76] mg\/dl). Over two\u2010thirds of patients with elevated creatinine had LGRT. Seventy\u2010seven (79.4%) of 97 patients with elevated creatinine had a repeat measure obtained a median of 15.5 (IQR 6.75\u201332.25) months post\u2010injury. Of these, 16 (20.8%) demonstrated persistent creatinine elevation (median 1.42 [IQR 1.33\u20131.61] mg\/dL;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with &gt;\u200930% having LGRT. Admission and post\u2010injury creatinine remained significantly elevated compared to pre\u2010injury levels in both LGRT and high\u2010grade RT (grades IV\u2013V) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). No patients had creatinine intentionally assessed by any specialty service after hospitalization.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>One in five patients with elevated creatinine in the setting of RT may be at risk for chronic kidney disease. Follow\u2010up should be considered for any patient with elevated creatinine, regardless of renal injury grade.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70402","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T05:31:16Z","timestamp":1773207076000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating Follow\u2010Up and Renal Function Outcomes in Trauma Patients With Urologic Injuries: Insights From a Level I Trauma Center"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8672-2308","authenticated-orcid":false,"given":"Whitney J.","family":"Richardson","sequence":"first","affiliation":[{"name":"Department of Urology University of Louisville School of Medicine  Louisville USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eniola A.","family":"Ogundipe","sequence":"additional","affiliation":[{"name":"Department of Urology University of Louisville School of Medicine  Louisville USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah D.","family":"Ashby","sequence":"additional","affiliation":[{"name":"Department of Urology University of Louisville School of Medicine  Louisville USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea D.","family":"Juneau","sequence":"additional","affiliation":[{"name":"Department of Urology University of Louisville School of Medicine  Louisville USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca C.","family":"Edwins","sequence":"additional","affiliation":[{"name":"Department of Urology University of Louisville School of Medicine  Louisville USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0270-7712","authenticated-orcid":false,"given":"Weijing","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Urology University of Louisville School of Medicine  Louisville USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3509-7856","authenticated-orcid":false,"given":"Uzoma A.","family":"Anele","sequence":"additional","affiliation":[{"name":"Department of Urology University of Louisville School of Medicine  Louisville USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2005.03524.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2019.04.001"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2005.10.005"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/clinpract15040067"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.5414\/CN110349"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002572"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc11454"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2011.379"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.11.103"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.07.100"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-7-26"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-158-11-201306040-00007"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/20543581231222064"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.00710113"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc5713"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2017.05.008"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.10431016"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.5414\/CN108072"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.12788\/jhm.2691"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1159\/000438871"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.17331120"},{"issue":"1","key":"e_1_2_10_23_1","first-page":"1","article-title":"KDIGO Clinical Practice Guideline for Acute Kidney Injury","volume":"2","author":"Group KDIGOKAKIW","year":"2012","journal-title":"Kidney International. 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