1. Cushioning the blow: role of perirenal fat in renal trauma injury severity
- Author
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Hakam, Nizar, Lui, Jason L, Shaw, Nathan M, and Breyer, Benjamin N
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Physical Injury - Accidents and Adverse Effects ,Kidney Disease ,Clinical Research ,Prevention ,Renal and urogenital ,Male ,Humans ,Adult ,Middle Aged ,Female ,Kidney ,Wounds ,Penetrating ,Wounds ,Nonpenetrating ,Trauma Centers ,Retrospective Studies ,Injury Severity Score ,kidney trauma ,high-grade renal trauma ,perirenal fat ,urological trauma ,#UroTrauma ,#Urology ,Urology & Nephrology ,Clinical sciences ,Oncology and carcinogenesis - Abstract
ObjectivesTo explore the association between perirenal fat thickness (PFT) and renal trauma grade. We hypothesise this association is related to a shock-absorbing effect of adiposity around the kidney.Patients and methodsWe identified all patients with renal trauma who arrived at the emergency department of a single trauma centre between 2014 and 2020. Radiology images were reviewed to measure the PFT around the uninjured kidney due to disrupted PFT around the traumatised kidney. Patients with no available images or penetrating trauma mechanism were excluded. Logistic regression was used to assess the relation between PFT and high-grade renal trauma (HGRT; defined as American Association for the Surgery of Trauma Renal Grade IV-V), adjusting for age, sex, and Injury Severity Scale (ISS).ResultsA total of 150 patients with renal trauma were included. The median (interquartile range) age was 38.5 (26-52) years and 106 (70.7%) were males. The PFT ranged between 2.1 and 50.1 mm, and 31 (20.7%) had HGRT. Interestingly, PFT only mildly correlated with body mass index (BMI; Pearson correlation coefficient 0.42, P
- Published
- 2023