Outcome of Kidney Trauma Management: Experiences from a Tertiary Referral Hospital in East Indonesia

Abstract

Introduction: Due to the high mortality and morbidity, kidney trauma ranks third among causes of abdominal solid organ injury, accounting for 24% of cases. In terms of trauma patient profiles, including trauma kinds, diagnoses, and management techniques, middle-income nations like Indonesia have distinctive characteristics. In order to improve the kidney trauma database in Indonesia, particularly in Surabaya, this study examines the 7-year treatment results for renal trauma at a tertiary referral hospital. Methods: The Department of Urology at Dr. Soetomo General-Academic Hospital handled 116 renal trauma patients over the course of 7 years (2013–2020), and secondary data from these cases were analyzed in this retrospective single-institution analysis. Age, gender, hemodynamic status, injury site, kidney damage score from the American Association for the Surgery of Trauma (AAST), related organ injury, treatment, and treatment outcomes are among the variables. Results: Total 116 patients with kidney trauma recorded. 89% of patients in hospitals are male, with male adolescents 20 years of age or under making up about 42% of this group. The majority of cases (94.8%) were caused by motor vehicle accidents (MVAs). Grade I trauma was encountered by nearly half of all patients (43.1%). Abdominal injuries made up the majority of cases (47.9%). Both low- and high-grade AAST injury groups showed stable hemodynamic status (71.3%, P = 0.36), low mortality (71.4%, P = 1.00), and conservative therapy (74.2%, P = 0.40). Conclusion: The majority of kidney trauma cases were discovered in men, were MVA-related, and involved severe damage in addition to preexisting injuries. Adult trauma centers should employ nonoperative treatment for low-grade and high-grade renal trauma.