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Abstract：
UNASSIGNED: The aim was to evaluate the impact of a standardized nonoperative management protocol by comparing patients with isolated blunt renal injury before and after implementation.
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.
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.
摘要：
■目的是通过比较实施前后孤立的钝性肾损伤患者来评估标准化非手术治疗方案的影响。
■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。
■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。
