Late complications after blunt renal trauma : A French multicenter study
Copyright © 2021. Published by Elsevier Masson SAS..
INTRODUCTION: Among genitourinary traumas, blunt trauma to the kidney are the most frequent: their initial management has been well studied but their development at a distance is poorly documented. The objective of this study was to assess the late complications of blunt renal trauma, and to investigate their predictive factors for occurrence.
MATERIALS AND METHODS: A retrospective observational study of the TraumAFUF project was conducted, including, between 2005 and 2018, all blunt renal trauma treated in 18 French hospitals and followed for more than 3 months. The characteristics of the initial trauma, as well as any complications occurring after three months, were identified. The patients were divided into two groups: onset of a late complication (LC) or uncomplicated (UC). The groups were compared in univariate and multivariate analyses to identify the risk factors for the occurrence of these complications.
RESULTS: Among the 454 patients included, 50 presented with LC (11%), as symptomatic morphologically altered kidney (2.9%), secondarily impaired biological renal function (2.9%), or secondary arterial hypertension (2.4%). The risk factors identified were, during initial medical care, a high-grade renal trauma≥IV (OR=2.4, P=0.025), active bleeding (OR=2.6, P=0.007), the need for transfusion (OR=2.3, P=0.001), or interventional (R=1.7, P=0.09) or endoscopic treatment (OR=2.0, P=0.035).
CONCLUSION: In this study, late complications occurred in 11% of cases after blunt renal trauma. The risk factors identified make it possible to draw up a patient profile who would benefit from prolonged follow-up to detect these complications.
LEVEL OF EVIDENCE: 3:.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:32 |
|---|---|
| Enthalten in: |
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie - 32(2022), 5 vom: 30. Apr., Seite 363-372 |
| Sprache: |
Französisch |
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| Weiterer Titel: |
Complications tardives après traumatisme fermé du rein : résultats de l’étude observationnelle nationale multicentrique TraumAFUF |
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| Beteiligte Personen: |
Brenot, G [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 18.04.2022 Date Revised 18.04.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.purol.2021.12.002 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM335339573 |
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| 100 | 1 | |a Brenot, G |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Late complications after blunt renal trauma |b A French multicenter study |
| 246 | 3 | 3 | |a Complications tardives après traumatisme fermé du rein : résultats de l’étude observationnelle nationale multicentrique TraumAFUF |
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| 500 | |a Date Completed 18.04.2022 | ||
| 500 | |a Date Revised 18.04.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021. Published by Elsevier Masson SAS. | ||
| 520 | |a INTRODUCTION: Among genitourinary traumas, blunt trauma to the kidney are the most frequent: their initial management has been well studied but their development at a distance is poorly documented. The objective of this study was to assess the late complications of blunt renal trauma, and to investigate their predictive factors for occurrence | ||
| 520 | |a MATERIALS AND METHODS: A retrospective observational study of the TraumAFUF project was conducted, including, between 2005 and 2018, all blunt renal trauma treated in 18 French hospitals and followed for more than 3 months. The characteristics of the initial trauma, as well as any complications occurring after three months, were identified. The patients were divided into two groups: onset of a late complication (LC) or uncomplicated (UC). The groups were compared in univariate and multivariate analyses to identify the risk factors for the occurrence of these complications | ||
| 520 | |a RESULTS: Among the 454 patients included, 50 presented with LC (11%), as symptomatic morphologically altered kidney (2.9%), secondarily impaired biological renal function (2.9%), or secondary arterial hypertension (2.4%). The risk factors identified were, during initial medical care, a high-grade renal trauma≥IV (OR=2.4, P=0.025), active bleeding (OR=2.6, P=0.007), the need for transfusion (OR=2.3, P=0.001), or interventional (R=1.7, P=0.09) or endoscopic treatment (OR=2.0, P=0.035) | ||
| 520 | |a CONCLUSION: In this study, late complications occurred in 11% of cases after blunt renal trauma. The risk factors identified make it possible to draw up a patient profile who would benefit from prolonged follow-up to detect these complications | ||
| 520 | |a LEVEL OF EVIDENCE: 3: | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a AAST classification | |
| 650 | 4 | |a Arterial hypertension | |
| 650 | 4 | |a Blunt trauma | |
| 650 | 4 | |a Classification AAST | |
| 650 | 4 | |a Complications | |
| 650 | 4 | |a Follow-up | |
| 650 | 4 | |a HTA | |
| 650 | 4 | |a Renal trauma | |
| 650 | 4 | |a Suivi | |
| 650 | 4 | |a Traumatisme fermé | |
| 650 | 4 | |a Traumatisme rénal | |
| 700 | 1 | |a Dominique, I |e verfasserin |4 aut | |
| 700 | 1 | |a Peyronnet, B |e verfasserin |4 aut | |
| 700 | 1 | |a Savoie, P H |e verfasserin |4 aut | |
| 700 | 1 | |a Chiron, P |e verfasserin |4 aut | |
| 700 | 0 | |a Groupe collaboratif TraumAFUF |e verfasserin |4 aut | |
| 700 | 1 | |a Betari, R |e investigator |4 oth | |
| 700 | 1 | |a Bergerat, S |e investigator |4 oth | |
| 700 | 1 | |a Brichart, N |e investigator |4 oth | |
| 700 | 1 | |a Caes, T |e investigator |4 oth | |
| 700 | 1 | |a Chebbi, A |e investigator |4 oth | |
| 700 | 1 | |a Dariane, C |e investigator |4 oth | |
| 700 | 1 | |a Fiard, G |e investigator |4 oth | |
| 700 | 1 | |a Freton, L |e investigator |4 oth | |
| 700 | 1 | |a Gryn, A |e investigator |4 oth | |
| 700 | 1 | |a Guleryuz, K |e investigator |4 oth | |
| 700 | 1 | |a Langouet, Q |e investigator |4 oth | |
| 700 | 1 | |a Lebacle, C |e investigator |4 oth | |
| 700 | 1 | |a Madec, F X |e investigator |4 oth | |
| 700 | 1 | |a Matillon, X |e investigator |4 oth | |
| 700 | 1 | |a Millet, C |e investigator |4 oth | |
| 700 | 1 | |a Nouhaud, F |e investigator |4 oth | |
| 700 | 1 | |a Olivier, J |e investigator |4 oth | |
| 700 | 1 | |a Panayatopoulos, P |e investigator |4 oth | |
| 700 | 1 | |a Patard, P |e investigator |4 oth | |
| 700 | 1 | |a Pradère, B |e investigator |4 oth | |
| 700 | 1 | |a Rizk, J |e investigator |4 oth | |
| 700 | 1 | |a Ruggiero, M |e investigator |4 oth | |
| 700 | 1 | |a Sabourin, L |e investigator |4 oth | |
| 700 | 1 | |a Szabla, N |e investigator |4 oth | |
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