UNASSIGNED: We retrospectively reviewed the trauma registry at our Level 1 pediatric trauma center. We compared consecutive patients (≤ 18 years) managed nonoperatively for blunt renal injury Pre (1/2010-9/2014) and Post (10/2014-3/2020) implementation of a clinical guideline. Outcomes included length of stay, intensive care unit admission, urinary catheter use, and imaging studies.
UNASSIGNED: We included 48 patients with isolated blunt renal injuries (29 Pre, 19 Post). There were no differences in age, sex, injury grade, or mechanism (P > .05). Postprotocol had decreased length of stay (P = .040), intensive care unit admissions (P = .015), urinary catheter use (P = .031), and ionizing radiation imaging (P < .001).
UNASSIGNED: These data suggest improved outcomes and resource utilization following implementation of a nonoperative management protocol of pediatric isolated blunt renal injuries.
■我们回顾性回顾了1级儿科创伤中心的创伤登记。我们比较了实施临床指南前(2010年1月至2014年9月)和后(2014年10月至2020年3月)的钝性肾损伤非手术治疗的连续患者(≤18年)。结果包括逗留时间,重症监护室入院,导尿管的使用,和成像研究。
■我们纳入了48例孤立性钝性肾损伤患者(29例,19帖子)。年龄没有差异,性别,损伤等级,或机制(P>0.05)。方案后住院时间缩短(P=.040),重症监护病房入院(P=.015),使用导尿管(P=0.031),和电离辐射成像(P<0.001)。
■这些数据表明,在实施小儿孤立性钝性肾损伤的非手术治疗方案后,结果和资源利用率得到改善。