{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T01:16:28Z","timestamp":1780362988681,"version":"3.54.1"},"reference-count":35,"publisher":"S. Karger AG","issue":"1-2","license":[{"start":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T00:00:00Z","timestamp":1576540800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T00:00:00Z","timestamp":1576540800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2020]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background:&lt;\/i&gt;&lt;\/b&gt; Trauma is a major cause of death and disability worldwide. Renal injuries account for 8\u201310% of abdominal trauma. We aimed to describe the incidence, presentation, and management of traumatic kidney injury in our institution. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; This is a retrospective analysis of all patients admitted with traumatic kidney injury at a level 1 trauma center between January 2014 and December 2017. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; During a period of 3 years, a total of 152 patients with blunt renal trauma were admitted to a level 1 trauma center; 91% of these were males, with a mean age of 32.8 \u00b1 13.7 years. Motor vehicle crashes accounted for 68% of cases, followed by fall from height (23%). Seventy-one percent of patients had associated chest injuries, 38% had pelvis injuries, and 32% had head injury. Associated abdominal injuries included the liver (35%) and spleen (26%). The mean abdominal abbreviated injury scale was 2.8 \u00b1 1.0; and for those with severe renal injury, it was 3.9 \u00b1 0.9. The mean injury severity score was 24.9 \u00b1 13.7 (31.8 \u00b1 14.2 with renal vs. 21.9 \u00b1 12.9 without renal injury, &lt;i&gt;p&lt;\/i&gt; = 0.004). Most of the patients were treated conservatively (93%), including severe renal injuries (grades IV and V), and 7% had surgical exploration, mainly those with severe injuries (grades IV and V). The mortality rate was 11%. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; High-grade renal injuries in hemodynamically stable patients can be managed conservatively. A multidisciplinary approach coordinated by trauma, urology, and radiology services facilitates the care of these patients in our trauma center.<\/jats:p>","DOI":"10.1159\/000504895","type":"journal-article","created":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T22:00:34Z","timestamp":1576620034000},"page":"148-155","source":"Crossref","is-referenced-by-count":13,"title":["Traumatic Kidney Injury: An Observational Descriptive 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