Matches in SemOpenAlex for { <https://semopenalex.org/work/W3196188511> ?p ?o ?g. }
- W3196188511 endingPage "252" @default.
- W3196188511 startingPage "246" @default.
- W3196188511 abstract "Objective To test the hypothesis that undergoing nephrectomy after high-grade renal trauma is associated with higher mortality rates. Methods We gathered data from 21 Level-1 trauma centers through the Multi-institutional Genito-Urinary Trauma Study. Patients with high-grade renal trauma were included. We assessed the association between nephrectomy and mortality in all patients and in subgroups of patients after excluding those who died within 24 hours of hospital arrival and those with GCS≤8. We controlled for age, injury severity score (ISS), shock (systolic blood pressure <90 mmHg), and Glasgow Coma Scale (GCS). Results A total of 1181 high-grade renal trauma patients were included. Median age was 31 and trauma mechanism was blunt in 78%. Injuries were graded as III, IV, and V in 55%, 34%, and 11%, respectively. There were 96 (8%) mortalities and 129 (11%) nephrectomies. Mortality was higher in the nephrectomy group (21.7% vs 6.5%, P <.001). Those who died were older, had higher ISS, lower GCS, and higher rates of shock. After adjusting for patient and injury characteristics nephrectomy was still associated with higher risk of death (RR: 2.12, 95% CI: 1.26-2.55). Conclusion Nephrectomy was associated with higher mortality in the acute trauma setting even when controlling for shock, overall injury severity, and head injury. These results may have implications in decision making in acute trauma management for patients not in extremis from renal hemorrhage." @default.
- W3196188511 created "2021-08-30" @default.
- W3196188511 creator A5003078475 @default.
- W3196188511 creator A5005917698 @default.
- W3196188511 creator A5007252255 @default.
- W3196188511 creator A5011906386 @default.
- W3196188511 creator A5013170349 @default.
- W3196188511 creator A5014044028 @default.
- W3196188511 creator A5014209815 @default.
- W3196188511 creator A5018276854 @default.
- W3196188511 creator A5019526114 @default.
- W3196188511 creator A5022175202 @default.
- W3196188511 creator A5025489868 @default.
- W3196188511 creator A5029449795 @default.
- W3196188511 creator A5029920044 @default.
- W3196188511 creator A5034440585 @default.
- W3196188511 creator A5037057731 @default.
- W3196188511 creator A5038506392 @default.
- W3196188511 creator A5038620204 @default.
- W3196188511 creator A5039157270 @default.
- W3196188511 creator A5039207180 @default.
- W3196188511 creator A5040319776 @default.
- W3196188511 creator A5049306280 @default.
- W3196188511 creator A5055998662 @default.
- W3196188511 creator A5056523420 @default.
- W3196188511 creator A5059562700 @default.
- W3196188511 creator A5060437961 @default.
- W3196188511 creator A5062147032 @default.
- W3196188511 creator A5064901596 @default.
- W3196188511 creator A5065868090 @default.
- W3196188511 creator A5067565587 @default.
- W3196188511 creator A5075637407 @default.
- W3196188511 creator A5076820020 @default.
- W3196188511 creator A5081278898 @default.
- W3196188511 creator A5081862837 @default.
- W3196188511 creator A5084353003 @default.
- W3196188511 creator A5086336025 @default.
- W3196188511 creator A5087983276 @default.
- W3196188511 date "2021-11-01" @default.
- W3196188511 modified "2023-10-15" @default.
- W3196188511 title "Nephrectomy After High-Grade Renal Trauma is Associated With Higher Mortality: Results From the Multi-Institutional Genitourinary Trauma Study (MiGUTS)" @default.
- W3196188511 cites W1555456512 @default.
- W3196188511 cites W1981372512 @default.
- W3196188511 cites W1990247725 @default.
- W3196188511 cites W2013074675 @default.
- W3196188511 cites W202228427 @default.
- W3196188511 cites W2026362456 @default.
- W3196188511 cites W2037668591 @default.
- W3196188511 cites W2042299161 @default.
- W3196188511 cites W2053944677 @default.
- W3196188511 cites W2130373985 @default.
- W3196188511 cites W2397083784 @default.
- W3196188511 cites W2751839866 @default.
- W3196188511 cites W2781964117 @default.
- W3196188511 cites W2911456654 @default.
- W3196188511 cites W2912108453 @default.
- W3196188511 cites W2913260196 @default.
- W3196188511 cites W2920825003 @default.
- W3196188511 cites W2936534835 @default.
- W3196188511 cites W2993330950 @default.
- W3196188511 cites W2995757370 @default.
- W3196188511 cites W3081282325 @default.
- W3196188511 cites W3090758285 @default.
- W3196188511 cites W3093095819 @default.
- W3196188511 cites W3093312636 @default.
- W3196188511 doi "https://doi.org/10.1016/j.urology.2021.07.033" @default.
- W3196188511 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34437895" @default.
- W3196188511 hasPublicationYear "2021" @default.
- W3196188511 type Work @default.
- W3196188511 sameAs 3196188511 @default.
- W3196188511 citedByCount "1" @default.
- W3196188511 countsByYear W31961885112022 @default.
- W3196188511 crossrefType "journal-article" @default.
- W3196188511 hasAuthorship W3196188511A5003078475 @default.
- W3196188511 hasAuthorship W3196188511A5005917698 @default.
- W3196188511 hasAuthorship W3196188511A5007252255 @default.
- W3196188511 hasAuthorship W3196188511A5011906386 @default.
- W3196188511 hasAuthorship W3196188511A5013170349 @default.
- W3196188511 hasAuthorship W3196188511A5014044028 @default.
- W3196188511 hasAuthorship W3196188511A5014209815 @default.
- W3196188511 hasAuthorship W3196188511A5018276854 @default.
- W3196188511 hasAuthorship W3196188511A5019526114 @default.
- W3196188511 hasAuthorship W3196188511A5022175202 @default.
- W3196188511 hasAuthorship W3196188511A5025489868 @default.
- W3196188511 hasAuthorship W3196188511A5029449795 @default.
- W3196188511 hasAuthorship W3196188511A5029920044 @default.
- W3196188511 hasAuthorship W3196188511A5034440585 @default.
- W3196188511 hasAuthorship W3196188511A5037057731 @default.
- W3196188511 hasAuthorship W3196188511A5038506392 @default.
- W3196188511 hasAuthorship W3196188511A5038620204 @default.
- W3196188511 hasAuthorship W3196188511A5039157270 @default.
- W3196188511 hasAuthorship W3196188511A5039207180 @default.
- W3196188511 hasAuthorship W3196188511A5040319776 @default.
- W3196188511 hasAuthorship W3196188511A5049306280 @default.
- W3196188511 hasAuthorship W3196188511A5055998662 @default.
- W3196188511 hasAuthorship W3196188511A5056523420 @default.
- W3196188511 hasAuthorship W3196188511A5059562700 @default.
- W3196188511 hasAuthorship W3196188511A5060437961 @default.