Abstract：
We queried the Pediatric Health Information System (PHIS) to evaluate the presentation, management, and outcomes of renal trauma in children from birth to 18 years from 2007-2018.
Patients were categorized as infants (0-1 year), toddlers (2-4 years), children (5-9 years), preteen (10-14 years), and teens (15-18 years), and patient demographics, grade of injury, and mechanism of injury including sports-related trauma (SRT) were collected. Each group was then evaluated for the level of management and patient outcome.
We identified 3720 patients with renal trauma. Our cohort was predominantly White (68.5%), male (68.6%), and required public insurance (38.5%). Most injuries were low grade (86.7%) and managed non-operatively (94.7%). The overall mortality was 51 (1.4%). Younger patients (infants, toddlers, children) were more likely to present with complex injuries and they were more likely to have been involved in a motor vehicle accident. They had higher blood transfusion rates, longer inpatient courses, higher levels of admission acuity, and higher mortality. Patients in the older age groups presented most after SRT. Across all age groups, the most common source of SRT was limited contact sports; however, when considering only teens, full contact sports were the primary offending activity. This review of the PHIS database provides insight to the rates and patterns of pediatric renal trauma in the United States.
Our data suggest an age-related differences in the presentation, management, and outcomes of pediatric renal trauma patients.
Patients were categorized as infants (0-1 year), toddlers (2-4 years), children (5-9 years), preteen (10-14 years), and teens (15-18 years), and patient demographics, grade of injury, and mechanism of injury including sports-related trauma (SRT) were collected. Each group was then evaluated for the level of management and patient outcome.
We identified 3720 patients with renal trauma. Our cohort was predominantly White (68.5%), male (68.6%), and required public insurance (38.5%). Most injuries were low grade (86.7%) and managed non-operatively (94.7%). The overall mortality was 51 (1.4%). Younger patients (infants, toddlers, children) were more likely to present with complex injuries and they were more likely to have been involved in a motor vehicle accident. They had higher blood transfusion rates, longer inpatient courses, higher levels of admission acuity, and higher mortality. Patients in the older age groups presented most after SRT. Across all age groups, the most common source of SRT was limited contact sports; however, when considering only teens, full contact sports were the primary offending activity. This review of the PHIS database provides insight to the rates and patterns of pediatric renal trauma in the United States.
Our data suggest an age-related differences in the presentation, management, and outcomes of pediatric renal trauma patients.
摘要：
目的：我们查询了儿科健康信息系统（PHIS）以评估演示文稿，管理,以及2007-2018年出生至18岁儿童肾损伤的结局。
方法：患者被归类为婴儿（0-1岁），幼儿（2-4岁），儿童（5-9岁），青春期（10-14岁），和青少年（15-18岁），和病人的人口统计学，伤害等级,收集损伤机制，包括运动相关创伤（SRT）。然后评估每个组的管理水平和患者预后。
结果：我们确定了3720例肾损伤患者。我们的队列主要是白人（68.5％），男性（68.6%），并要求公共保险(38.5%)。大多数损伤为低度（86.7％），非手术治疗（94.7％）。总死亡率为51（1.4％）。年轻患者（婴儿，幼儿,儿童)更有可能出现复杂的伤害，他们更有可能卷入机动车事故。他们的输血率较高，住院时间较长，更高水平的入院敏锐度，和更高的死亡率。年龄较大的患者在SRT后表现最多。在所有年龄组中，SRT最常见的来源是有限的接触运动；然而，当只考虑青少年时，完全接触运动是主要的冒犯活动。对PHIS数据库的这篇综述提供了对美国小儿肾损伤的发生率和模式的见解。
结论：我们的数据表明呈现与年龄相关的差异，管理,以及小儿肾损伤患者的预后。
方法：患者被归类为婴儿（0-1岁），幼儿（2-4岁），儿童（5-9岁），青春期（10-14岁），和青少年（15-18岁），和病人的人口统计学，伤害等级,收集损伤机制，包括运动相关创伤（SRT）。然后评估每个组的管理水平和患者预后。
结果：我们确定了3720例肾损伤患者。我们的队列主要是白人（68.5％），男性（68.6%），并要求公共保险(38.5%)。大多数损伤为低度（86.7％），非手术治疗（94.7％）。总死亡率为51（1.4％）。年轻患者（婴儿，幼儿,儿童)更有可能出现复杂的伤害，他们更有可能卷入机动车事故。他们的输血率较高，住院时间较长，更高水平的入院敏锐度，和更高的死亡率。年龄较大的患者在SRT后表现最多。在所有年龄组中，SRT最常见的来源是有限的接触运动；然而，当只考虑青少年时，完全接触运动是主要的冒犯活动。对PHIS数据库的这篇综述提供了对美国小儿肾损伤的发生率和模式的见解。
结论：我们的数据表明呈现与年龄相关的差异，管理,以及小儿肾损伤患者的预后。
