TY - JOUR
T1 - Implementation of a clinical guideline for nonoperative management of isolated blunt renal injury in children
AU - Steinberger, Allie E.
AU - Wilson, Nicole A.
AU - Fairfax, Connor
AU - Treon, Stephanie J.
AU - Herndon, Michele
AU - Levene, Tamar L.
AU - Keller, Martin S.
N1 - Publisher Copyright:
© 2021 The Authors
PY - 2021/7
Y1 - 2021/7
N2 - Background: The aim was to evaluate the impact of a standardized nonoperative management protocol by comparing patients with isolated blunt renal injury before and after implementation. Methods: We retrospectively reviewed the trauma registry at our Level 1 pediatric trauma center. We compared consecutive patients (≤ 18 years) managed nonoperatively for blunt renal injury Pre (1/2010–9/2014) and Post (10/2014–3/2020) implementation of a clinical guideline. Outcomes included length of stay, intensive care unit admission, urinary catheter use, and imaging studies. Results: We included 48 patients with isolated blunt renal injuries (29 Pre, 19 Post). There were no differences in age, sex, injury grade, or mechanism (P > .05). Postprotocol had decreased length of stay (P = .040), intensive care unit admissions (P = .015), urinary catheter use (P = .031), and ionizing radiation imaging (P < .001). Conclusion: These data suggest improved outcomes and resource utilization following implementation of a nonoperative management protocol of pediatric isolated blunt renal injuries.
AB - Background: The aim was to evaluate the impact of a standardized nonoperative management protocol by comparing patients with isolated blunt renal injury before and after implementation. Methods: We retrospectively reviewed the trauma registry at our Level 1 pediatric trauma center. We compared consecutive patients (≤ 18 years) managed nonoperatively for blunt renal injury Pre (1/2010–9/2014) and Post (10/2014–3/2020) implementation of a clinical guideline. Outcomes included length of stay, intensive care unit admission, urinary catheter use, and imaging studies. Results: We included 48 patients with isolated blunt renal injuries (29 Pre, 19 Post). There were no differences in age, sex, injury grade, or mechanism (P > .05). Postprotocol had decreased length of stay (P = .040), intensive care unit admissions (P = .015), urinary catheter use (P = .031), and ionizing radiation imaging (P < .001). Conclusion: These data suggest improved outcomes and resource utilization following implementation of a nonoperative management protocol of pediatric isolated blunt renal injuries.
UR - https://www.scopus.com/pages/publications/85127112909
U2 - 10.1016/j.sopen.2021.04.003
DO - 10.1016/j.sopen.2021.04.003
M3 - Article
C2 - 34337373
AN - SCOPUS:85127112909
SN - 2589-8450
VL - 5
SP - 19
EP - 24
JO - Surgery Open Science
JF - Surgery Open Science
ER -