CLINICAL OUTCOMES OF PATIENTS WITH BLUNT RENAL TRAUMA: A SYSTEMATIC REVIEW OF EMERGENCY MANAGEMENT AND LONG-TERM CONSEQUENCES
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Keywords
Blunt renal trauma, non-operative management, chronic kidney disease, hypertension.
Abstract
Background: The major cause of kidney injuries from blunt trauma emergencies is called Blunt renal trauma (BRT) which commonly develops because of auto accidents or falling incidents. The prevention of renal failure together with hypertension and chronic kidney disease (CKD) depends on early diagnosis along with immediate medical treatments.
Objectives: To compare clinical outcomes between non-operative and operative treatment modalities in patients with blunt renal injuries.
Study design: A Systematic review
Place and duration of study: Department of Urology Pak International Medical College Peshawar., Peshawar, from January 2020 to January 2023.
Methods: A comprehensive review of studies from 2000 to 2023 used PubMed with Scopus followed by other appropriate databases. Studyers chose studies which documented clinical outcomes and management strategies and long-term effects of blunt renal trauma together with their effects on CKD and hypertension. A statistical assessment determined the outcomes and complications.
Results: A total analysis of 3,213 patients was conducted through 100 studies. The patients' mean age came out to 36.4 ± 15.3 years. The success rate of non-operative management reached 85% in these cases. The ongoing study showed that kidney disease developed in 12% of participants and hypertension affected 8% of them. The requirement for surgical intervention reached 15% of patients because their injuries were graded IV and V (p < 0.05).
ConclusionThe majority of cases succeed with non-operative intervention in blunt renal trauma yet patients face substantial risks for CKD and hypertension. The primary need for better patient results incorporates both swift detection and ongoing assessment of patients.
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Mati Ur Rehman
Assistant Professor Urology. Pak International Medical College Peshawar.
Irfan Ullah Khan
Assistant Professor Of Urology Northwest General Hospital And Research Center Peshawar.
Qaisar Iqbal
Assistant Professor Of Urology And Transplant Rehman Medical Institute Peshawar
Mehboob Ul Wahab
District Urologist DHQ Charsadda
Muhammad Kalim
Assistant Professor Surgery Lady Reading Hospital