Nephrectomy After High-Grade Renal Trauma is Associated With Higher Mortality: Results From the Multi-Institutional Genitourinary Trauma Study (MiGUTS)

To test the hypothesis that undergoing nephrectomy after high-grade renal trauma is associated with higher mortality rates. We gathered data from 21 Level-1 trauma centers through the Multi-institutional Genito-Urinary Trauma Study. Patients with high-grade renal trauma were included. We assessed th...

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Veröffentlicht in:Urology (Ridgewood, N.J.) N.J.), 2021-11, Vol.157, p.246-252
Hauptverfasser: Heiner, S. Mitchell, Keihani, Sorena, McCormick, Benjamin J., Fang, Elisa, Hagedorn, Judith C., Voelzke, Bryan, Nocera, Alexander P., Selph, J. Patrick, Arya, Chirag S., Sensenig, Rachel L., Rezaee, Michael E., Moses, Rachel A., Dodgion, Christopher M., Higgins, Margaret M., Gupta, Shubham, Mukherjee, Kaushik, Majercik, Sarah, Smith, Brian P., Glavin, Katie, Broghammer, Joshua A., Schwartz, Ian, Elliott, Sean P., Breyer, Benjamin N., Becerra, Clara M. Castillejo, Baradaran, Nima, DeSoucy, Erik, Zakaluzny, Scott, Erickson, Bradley A., Miller, Brandi D., Santucci, Richard A., Askari, Reza, Carrick, Matthew M., Burks, Frank N., Norwood, Scott, Nirula, Raminder, Myers, Jeremy B.
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Sprache:eng
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Zusammenfassung:To test the hypothesis that undergoing nephrectomy after high-grade renal trauma is associated with higher mortality rates. We gathered data from 21 Level-1 trauma centers through the Multi-institutional Genito-Urinary Trauma Study. Patients with high-grade renal trauma were included. We assessed the association between nephrectomy and mortality in all patients and in subgroups of patients after excluding those who died within 24 hours of hospital arrival and those with GCS≤8. We controlled for age, injury severity score (ISS), shock (systolic blood pressure
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2021.07.033