186 Acute Kidney Injury in Skeletal Trauma Admissions to Intensive Care: An Under-Estimated Complication
نویسندگان
چکیده
Abstract Introduction Acute kidney injury (AKI) is associated with prolonged admission and 3.5 times increased mortality for trauma patients requiring intensive care (ICU) treatment. Blunt confers greater risk of AKI than penetrating trauma, potentially related to long bone fracture. The relationship between skeletal in ICU has not previously been investigated. Method Retrospective data was analysed from 202 consecutive adult admitted 01/06/2018 01/06/2019. defined by creatinine rise >1.5 baseline. Results found 70/202 (34.65%) aged 16-99 years, 138 males 64 females. Mean limb Abbreviated Injury Scale (AIS) significantly higher (AIS= 2.57 (SD 0.53) versus non-AKI AIS=2.38 0.61), p = 0.027). Other body regions total Severity Score (ISS) were non-significant. a worse Glasgow Outcome (AKI 3.28 1.52) 4.02 1.08) < 0.001), stay 7.03 8.30) days 3.8 4.1) 0.001) 30-day 18/70 (25.71%) 10/132 (7.58%) Conclusions Skeletal have high incidence AKI, which correlated severity but overall ISS.
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2021
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znab134.537