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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Deininger, C; Freude, T; Wichlas, F; Kriechbaumer, LK; Deininger, SHM; Törzsök, P; Lusuardi, L; Pallauf, M; Deluca, A; Deininger, S.
On the black slope: analysis of the course of a blunt renal trauma collective in a winter sports region.
Eur J Trauma Emerg Surg. 2022; 48(3):2125-2133
Doi: 10.1007/s00068-021-01830-w
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- Leading authors Med Uni Graz
- Deininger Christian
- Deininger Susanne
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- Abstract:
- PURPOSE: The aim of this study was to analyze the injury patterns and clinical course of a winter sport dominated by blunt renal trauma collective. METHODS: Blunt renal trauma cases (N = 106) treated in a Level 1 Trauma Center in Austria were analyzed. RESULTS: We encountered 12.3% grade 1, 10.4% grade 2, 32.1% grade 3, 38.7% grade 4 and 6.6% grade 5 renal traumata classified according to the American Association for the Surgery of Trauma (AAST). The mechanisms of injury (MOI) did not have an influence on the frequency of HG trauma (i.e., grade 4 and 5). No concomitant injuries (CIs) were found in 57.9% of patients. The number of patients without CIs was significantly higher in the sports associated trauma group compared to other MOIs (p < 0.01). In 94.3% the primary treatment was a non-operative management (NOM) including 56.6% conservative, 34.0% endourological, and 3.8% interventional therapies. A follow-up computed tomography (FU-CT) was performed in 81.1%, 3.3 days after trauma. After FU-CT, the primary therapy was changed in 11.4% of cases (grade ≥ 3). Comparing the Hb loss between the patients with grade 3 and 4 kidney trauma with and without revision surgery, we find a significantly increased Hb loss within the first 96 h after the trauma in the group with a needed change of therapy (p < 0.0001). The overall rate of nephrectomy (primary or secondary) was 9.4%. Independent predictors of nephrectomy were HG trauma (p < 0.01), age (p < 0.05), and sex (p < 0.05). The probability of nephrectomy was lower with (winter) sports-associated trauma (p < 0.1). CONCLUSIONS: Sports-associated blunt renal trauma is more likely to occur isolated, and has a lower risk of severe outcomes, compared to other trauma mechanisms. NOM can successfully be performed in over 90% of all trauma grades.
- Find related publications in this database (using NLM MeSH Indexing)
- Abdominal Injuries - therapy
- Athletic Injuries - administration & dosage
- Humans - administration & dosage
- Injury Severity Score - administration & dosage
- Kidney - diagnostic imaging, injuries
- Retrospective Studies - administration & dosage
- Wounds, Nonpenetrating - diagnostic imaging, epidemiology, therapy
- Find related publications in this database (Keywords)
- Renal trauma
- Winter sports
- Abdominal
- Skiing
- Conservative
- Non-operative management