The utility of initial and follow-up ultrasound reevaluation for blunt renal trauma in children and adolescents |
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| Affiliation: | 1. Division of Pediatric Urology, Arkansas Children''s Hospital, Little Rock, AR, USA;2. Division of Surgery, Arkansas Children''s Hospital, Little Rock, AR, USA;3. University of Arkansas for Medical Sciences, College of Medicine, 4301 W. Markham, Little Rock, AR 72205, USA;4. Division of Radiology, Arkansas Children''s Hospital, Little Rock, AR, USA;1. UT Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9142, USA;2. University of Nebraska Medical Center, 988102 Nebraska Medical Center, Omaha, NE 68196-8102, USA;1. Pediatric Urology Service, Dr. Exequiel González Cortés Hospital, Barros Luco 3301, San Miguel, Santiago, Chile;2. University of Chile, School of Medicine, Department of Pediatrics and Pediatric Surgery, Santiago, Chile;3. Clinica Alemana, Santiago, Chile;1. Department of Pediatric Urology, Children''s Healthcare of Atlanta and Emory University School of Medicine, Atlanta, GA, USA;2. Department of Radiology, Children''s Healthcare of Atlanta and Emory University School of Medicine, Atlanta, GA, USA |
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| Abstract: | ObjectiveTo discover if renal ultrasound (RUS) can be utilized as the primary follow-up imaging modality in the management of blunt renal injuries in children and adolescents.MethodsWe initiated a protocol utilizing RUS reevaluations for children and adolescents treated for blunt renal injuries. Patients following this protocol (Post) had initial computerized tomography (CT) with RUS reevaluation at day 2 and 2 weeks. We retrospectively compared this group to a 2-year cohort treated between 2007 and 2009 (Pre).ResultsIn our study, 28 Post protocol patients were retrospectively compared with 22 Pre cohort patients. No significant differences were observed in age, length of stay (LOS), injury severity score (ISS), and utilization of CT reevaluation. Follow-up reevaluation was obtained in 13 Pre patients versus 21 Post patients (p = 0.231). No patients had any evidence of long-term complications in either cohort.ConclusionOur results suggest that RUS can be utilized as the primary surveillance imaging modality in the management of blunt renal injuries in children and adolescents. The lack of benefit of usage of RUS demonstrated in the acute post-injury surveillance period calls into question the benefit of RUS immediately following the blunt trauma. |
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| Keywords: | Traumatic renal injury Ultrasound Expectant management |
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