Randomized trial assesses management strategies for renal trauma in pediatric patients, suggesting variability in outcomes based on injury grade.
Renal trauma most commonly occurs because of blunt force trauma in the pediatric population. When renal trauma is suspected, a CT should be performed. The American Association for the Surgery of Trauma grading system is used to describe renal injuries and guide management. Treatment of renal injuries ranges from observation to hemodynamic stability. Outcomes depend upon the injury grade and associated injuries. Patients with grade 4 and 5 injuries have a longer hospital stay and a higher risk of complications.
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Navid et al. (2026) studied this question.
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