Sorena Keihani, Douglas Rogers, Sherry S Wang, Joel A Gross, Ryan P Joyce, Judith C Hagedorn, Sarah Majercik, Rachel L Sensenig, Ian Schwartz, Bradley A Erickson, Rachel A Moses, J Patrick Selph, Scott Norwood, Brian P Smith, Christopher M Dodgion, Kaushik Mukherjee, Benjamin N Breyer, Nima Baradaran, Jeremy B Myers
OBJECTIVE: To study the prevalence and management of shattered kidney and to evaluate if the new description of "loss of identifiable renal anatomy" in the 2018 American Association for the Surgery of Trauma (AAST) organ injury scale (OIS) would improve the ability to predict bleeding control interventions. METHODS: We used high-grade renal trauma (HGRT) data from 21 Level-1 trauma centers from 2013-2018. Initial CT scans were reviewed to identify shattered kidneys, defined as a kidney having ≥3 parenchymal fragments displaced by blood or fluid on cross-sectional imaging...
June 23, 2023: Urology