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Post-traumatic acute kidney injury: a cross-sectional study of trauma patients
- Source :
- Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
- Publication Year :
- 2016
- Publisher :
- BioMed Central, 2016.
-
Abstract
- Background The causes of post-traumatic acute kidney injury (AKI) are multifactorial, and shock associated with major trauma has been proposed to result in inadequate renal perfusion and subsequent AKI in trauma patients. This study aimed to investigate the true incidence and clinical presentation of post-traumatic AKI in hospitalized adult patients and its association with shock at a Level I trauma center. Methods Detailed data of 78 trauma patients with AKI and 14,504 patients without AKI between January 1, 2009 and December 31, 2014 were retrieved from the Trauma Registry System. Patients with direct renal trauma were excluded from this study. Two-sided Fisher’s exact or Pearson’s chi-square tests were used to compare categorical data, unpaired Student’s t-test was used to analyze normally distributed continuous data, and Mann–Whitney’s U test was used to compare non-normally distributed data. Propensity score matching with a 1:1 ratio with logistic regression was used to evaluate the effect of shock on AKI. Results Patients with AKI presented with significantly older age, higher incidence rates of pre-existing comorbidities, higher odds of associated injures (subdural hematoma, intracerebral hematoma, intra-abdominal injury, and hepatic injury), and higher injury severity than patients without AKI. In addition, patients with AKI had a longer hospital stay (18.3 days vs. 9.8 days, respectively; P
- Subjects :
- Adult
Male
Resuscitation
medicine.medical_specialty
Taiwan
Critical Care and Intensive Care Medicine
urologic and male genital diseases
Trauma
law.invention
03 medical and health sciences
0302 clinical medicine
Length of stay (LOS)
Trauma Centers
law
Internal medicine
medicine
Humans
030212 general & internal medicine
Hospital Mortality
Registries
Mortality
Original Research
Retrospective Studies
Acute kidney injury (AKI)
business.industry
Major trauma
Incidence
Trauma center
Acute kidney injury
030208 emergency & critical care medicine
Shock
Odds ratio
Acute Kidney Injury
Middle Aged
medicine.disease
Intensive care unit
female genital diseases and pregnancy complications
Surgery
Survival Rate
Intensive Care Units
Cross-Sectional Studies
Shock (circulatory)
Propensity score matching
Emergency Medicine
Wounds and Injuries
Female
medicine.symptom
business
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 17577241
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
- Accession number :
- edsair.doi.dedup.....b64e4d1bb67126d803a7efeb9ba1698f