The morbidity of trauma nephrectomy

Norma M. Edwards, Jeffrey A. Claridge, Raquel M. Forsythe, Jordan A. Weinberg, Martin Croce, Timothy C. Fabian

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Mortality has been shown to be high in patients after trauma nephrectomy (TN). However, there are little data regarding morbidity in survivors. The objective of this study was to determine the morbidity rates associated with TN with attention directed to renal failure (RF) and formation of intra-abdominal abscess (IAA). Patients who underwent TN over a 9-year period (1996 to 2004) were identified from the trauma registry. Records were reviewed for all complications after TN in patients surviving at least 48 hours. Eighty-nine patients were identified with TN; 61 per cent resulted after penetrating trauma. Overall mortality was 34 per cent. Seventy-one patients survived greater than 48 hours; 51 (72%) experienced at least one morbidity. There was no difference in morbidity rates between patients undergoing blunt trauma and those undergoing penetrating trama. Patients with morbidities were significantly older, more severely injured, and had higher mortality rates and longer hospital courses. Infectious complications were seen in 52 per cent, respiratory in 48 per cent, gastrointestinal in 30 per cent, coagulopathy in 25 per cent, and RF and IAA were each seen in 14 per cent of patients. Patients undergoing TN are severely injured with significant morbidity. The results from this study allow us to establish benchmarks to assess complication rates for patients who undergo TN, which can provide prognostic information and goals to improve patient outcomes.

Original languageEnglish (US)
Pages (from-to)1112-1117
Number of pages6
JournalAmerican Surgeon
Volume75
Issue number11
StatePublished - Nov 1 2009

Fingerprint

Nephrectomy
Morbidity
Wounds and Injuries
Abdominal Abscess
Renal Insufficiency
Mortality
Benchmarking
Survivors
Registries

All Science Journal Classification (ASJC) codes

  • Surgery
  • Medicine(all)

Cite this

Edwards, N. M., Claridge, J. A., Forsythe, R. M., Weinberg, J. A., Croce, M., & Fabian, T. C. (2009). The morbidity of trauma nephrectomy. American Surgeon, 75(11), 1112-1117.

The morbidity of trauma nephrectomy. / Edwards, Norma M.; Claridge, Jeffrey A.; Forsythe, Raquel M.; Weinberg, Jordan A.; Croce, Martin; Fabian, Timothy C.

In: American Surgeon, Vol. 75, No. 11, 01.11.2009, p. 1112-1117.

Research output: Contribution to journalArticle

Edwards, NM, Claridge, JA, Forsythe, RM, Weinberg, JA, Croce, M & Fabian, TC 2009, 'The morbidity of trauma nephrectomy', American Surgeon, vol. 75, no. 11, pp. 1112-1117.
Edwards NM, Claridge JA, Forsythe RM, Weinberg JA, Croce M, Fabian TC. The morbidity of trauma nephrectomy. American Surgeon. 2009 Nov 1;75(11):1112-1117.
Edwards, Norma M. ; Claridge, Jeffrey A. ; Forsythe, Raquel M. ; Weinberg, Jordan A. ; Croce, Martin ; Fabian, Timothy C. / The morbidity of trauma nephrectomy. In: American Surgeon. 2009 ; Vol. 75, No. 11. pp. 1112-1117.
@article{60a64cf72d5745859b202d91d5414caf,
title = "The morbidity of trauma nephrectomy",
abstract = "Mortality has been shown to be high in patients after trauma nephrectomy (TN). However, there are little data regarding morbidity in survivors. The objective of this study was to determine the morbidity rates associated with TN with attention directed to renal failure (RF) and formation of intra-abdominal abscess (IAA). Patients who underwent TN over a 9-year period (1996 to 2004) were identified from the trauma registry. Records were reviewed for all complications after TN in patients surviving at least 48 hours. Eighty-nine patients were identified with TN; 61 per cent resulted after penetrating trauma. Overall mortality was 34 per cent. Seventy-one patients survived greater than 48 hours; 51 (72{\%}) experienced at least one morbidity. There was no difference in morbidity rates between patients undergoing blunt trauma and those undergoing penetrating trama. Patients with morbidities were significantly older, more severely injured, and had higher mortality rates and longer hospital courses. Infectious complications were seen in 52 per cent, respiratory in 48 per cent, gastrointestinal in 30 per cent, coagulopathy in 25 per cent, and RF and IAA were each seen in 14 per cent of patients. Patients undergoing TN are severely injured with significant morbidity. The results from this study allow us to establish benchmarks to assess complication rates for patients who undergo TN, which can provide prognostic information and goals to improve patient outcomes.",
author = "Edwards, {Norma M.} and Claridge, {Jeffrey A.} and Forsythe, {Raquel M.} and Weinberg, {Jordan A.} and Martin Croce and Fabian, {Timothy C.}",
year = "2009",
month = "11",
day = "1",
language = "English (US)",
volume = "75",
pages = "1112--1117",
journal = "American Surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "11",

}

TY - JOUR

T1 - The morbidity of trauma nephrectomy

AU - Edwards, Norma M.

AU - Claridge, Jeffrey A.

AU - Forsythe, Raquel M.

AU - Weinberg, Jordan A.

AU - Croce, Martin

AU - Fabian, Timothy C.

PY - 2009/11/1

Y1 - 2009/11/1

N2 - Mortality has been shown to be high in patients after trauma nephrectomy (TN). However, there are little data regarding morbidity in survivors. The objective of this study was to determine the morbidity rates associated with TN with attention directed to renal failure (RF) and formation of intra-abdominal abscess (IAA). Patients who underwent TN over a 9-year period (1996 to 2004) were identified from the trauma registry. Records were reviewed for all complications after TN in patients surviving at least 48 hours. Eighty-nine patients were identified with TN; 61 per cent resulted after penetrating trauma. Overall mortality was 34 per cent. Seventy-one patients survived greater than 48 hours; 51 (72%) experienced at least one morbidity. There was no difference in morbidity rates between patients undergoing blunt trauma and those undergoing penetrating trama. Patients with morbidities were significantly older, more severely injured, and had higher mortality rates and longer hospital courses. Infectious complications were seen in 52 per cent, respiratory in 48 per cent, gastrointestinal in 30 per cent, coagulopathy in 25 per cent, and RF and IAA were each seen in 14 per cent of patients. Patients undergoing TN are severely injured with significant morbidity. The results from this study allow us to establish benchmarks to assess complication rates for patients who undergo TN, which can provide prognostic information and goals to improve patient outcomes.

AB - Mortality has been shown to be high in patients after trauma nephrectomy (TN). However, there are little data regarding morbidity in survivors. The objective of this study was to determine the morbidity rates associated with TN with attention directed to renal failure (RF) and formation of intra-abdominal abscess (IAA). Patients who underwent TN over a 9-year period (1996 to 2004) were identified from the trauma registry. Records were reviewed for all complications after TN in patients surviving at least 48 hours. Eighty-nine patients were identified with TN; 61 per cent resulted after penetrating trauma. Overall mortality was 34 per cent. Seventy-one patients survived greater than 48 hours; 51 (72%) experienced at least one morbidity. There was no difference in morbidity rates between patients undergoing blunt trauma and those undergoing penetrating trama. Patients with morbidities were significantly older, more severely injured, and had higher mortality rates and longer hospital courses. Infectious complications were seen in 52 per cent, respiratory in 48 per cent, gastrointestinal in 30 per cent, coagulopathy in 25 per cent, and RF and IAA were each seen in 14 per cent of patients. Patients undergoing TN are severely injured with significant morbidity. The results from this study allow us to establish benchmarks to assess complication rates for patients who undergo TN, which can provide prognostic information and goals to improve patient outcomes.

UR - http://www.scopus.com/inward/record.url?scp=70450253406&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70450253406&partnerID=8YFLogxK

M3 - Article

VL - 75

SP - 1112

EP - 1117

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 11

ER -