CLINICAL AND PARACLINICAL CHARACTERISTICS OF PATIENTS WITH GRADE V RENAL TRAUMA AT VIET DUC UNIVERSITY HOSPITAL

Nguyên Vũ Lê, Xuân Hoà Nguyễn

Main Article Content

Abstract

Objective: To describe the clinical and paraclinical characteristics of patients with grade V renal trauma at Viet Duc University Hospital. Subjects and Methods: A retrospective study evaluating the clinical and paraclinical status of 22 patients upon hospital admission based on research data. Data were collected from both paper and electronic medical records and processed using SPSS statistical software. Results: The study at Viet Duc University Hospital showed that the average age of patients with grade V renal trauma was 26.77 ± 11.82 years, with the under-20 age group accounting for the highest proportion (40.9%) due to high-risk activities such as traffic accidents or heavy labor. Associated extrarenal injuries accounted for 68.2%, isolated renal trauma for 22.7%, and pre-existing renal conditions for 9.1%. Males accounted for an overwhelming majority (90.9%). Conclusion: Grade V renal trauma at Viet Duc University Hospital primarily occurs in males under 20 years of age, with traffic accidents being the leading cause (86%).

Article Details

References

Kozar RA, Crandall M, Shanmuganathan K, et al. Organ injury scaling 2018 update: spleen, liver, and kidney. J Trauma Acute Care Surg. 2018;85(6):1119-1122.
2. Santucci RA, Fisher MB. The literature increasingly supports expectant (nonoperative) management of renal trauma—a systematic review. J Trauma. 2005;58(3):614-621.
3. Hoàng Long, Nguyễn Duy Huề, Vũ Nguyễn Khải Ca, Lê Ngọc Từ. Giá trị chẩn đoán của chụp cắt lớp vi tính trong điều trị chấn thương thận kín tại Bệnh viện Việt Đức giai đoạn từ 9/2003 đến 7/2006. Tạp chí Ngoại khoa. 2008;1:22-32.
4. Bonatti M, Lombardo F, Vezzali N, et al. MDCT of blunt renal trauma: imaging findings and therapeutic implications. Insights Imaging. 2015;6(2):261-272.
5. Park SJ, Kim JK, Cho KS. MDCT findings of renal trauma. AJR Am J Roentgenol. 2006;187(2):541-547.
6. Hammond AA. Case of renal artery embolization for grade 5 renal injury, usually reserved for surgery. West African Journal of Radiology. 2018;25(1):75-78.
7. Peng N, Wang X, Zhang Z, Fu S. Diagnosis value of multi-slice spiral CT in renal trauma. J Xray Sci Technol. 2016;24(5):649-655.
8. Jonathan SG. Transcatheter embolization for the treatment of renal trauma. In: Procedural Dictations in Image-Guided Intervention. Springer; 2016:463-466.
9. Van der Wilden GM, Velmahos GC, Joseph DK, et al. Successful nonoperative management of the most severe blunt renal injuries: a multicenter study of the research consortium of New England Centers for Trauma. JAMA Surg. 2013;148(10):924-931.
10. Aragona F, Pepe P, Patane D, et al. Management of severe blunt renal trauma in adult patients: a 10-year retrospective review from an emergency hospital. BJU Int. 2012;110(5):744-748.