TY  - JOUR
PY  - 2021//
TI  - Implementation of a clinical guideline for nonoperative management of isolated blunt renal injury in children
JO  - Surgery open science
A1  - Steinberger, Allie E.
A1  - Wilson, Nicole A.
A1  - Fairfax, Connor
A1  - Treon, Stephanie J.
A1  - Herndon, Michele
A1  - Levene, Tamar L.
A1  - Keller, Martin S.
SP  - 19
EP  - 24
VL  - 5
IS  - 
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. <br><br>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. <br><br>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). <br><br>CONCLUSION: These data suggest improved outcomes and resource utilization following implementation of a nonoperative management protocol of pediatric isolated blunt renal injuries.<p />  <p>Language: en</p>
LA  - en
SN  - 2589-8450
UR  - http://dx.doi.org/10.1016/j.sopen.2021.04.003
ID  - ref1
ER  -