MP18-04 HIGH-GRADE RENAL TRAUMA: DOES MANAGEMENT PREDICT LENGTH OF HOSPITAL STAY?

Abstract

You have accessJournal of UrologyTrauma/Reconstruction: Ureter, Bladder, External Genitalia and Urotrauma I1 Apr 2015MP18-04 HIGH-GRADE RENAL TRAUMA: DOES MANAGEMENT PREDICT LENGTH OF HOSPITAL STAY? Lindsay Hampson, Anobel Odisho, Benjamin Breyer, and Jack McAninch Lindsay HampsonLindsay Hampson More articles by this author , Anobel OdishoAnobel Odisho More articles by this author , Benjamin BreyerBenjamin Breyer More articles by this author , and Jack McAninchJack McAninch More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1036AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Costs of hospitalization for trauma are a significant burden on the healthcare system. As management of high-grade renal trauma shifts towards more non-operative management, we sought to describe the characteristics of patients with high-grade renal trauma by hospital stay and to evaluate the effect of conservative versus surgical management on length of hospital stay. METHODS We performed a cross-sectional retrospective analysis of a prospective contiguous database of patients who sustained unilateral high-grade renal trauma at San Francisco General Hospital from 9/21/77 - 8/10/2012. Patients' injury mechanism & grade, details about associated injuries and management, and length of hospital stay were recorded. Descriptive analysis was performed using chi-squared and linear regression. Multivariate analysis was performed using a Fine-Gray model of competing risks survival analysis adjusting for trauma type, grade, surgery, associated injury, and complications, where discharge was defined as the event of interest and death was considered a competing event; an interaction term for renal and non-GU surgery was included due to significant collinearity. P-value < 0.05 was considered significant. RESULTS The cohort included 413 patients, of whom 257 underwent renal exploration (Table 1). In multivariate analysis, blunt trauma, non-GU surgery, associated injuries, grade 4/5 injuries, and complications were associated with a significantly longer hospital stay, whereas renal exploration was not found to be significantly associated (Table 2). CONCLUSIONS The etiology, grade, and non-GU management of renal trauma are predictive of length of hospital stay, yet there is no significant difference between operative and non-operative management of high-grade renal trauma in terms of hospital stay. These results can reassure us that the movement to more conservative management of high-grade renal trauma does not impact patients' length of hospitalization. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e206-e207 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Lindsay Hampson More articles by this author Anobel Odisho More articles by this author Benjamin Breyer More articles by this author Jack McAninch More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...