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Volume 3, Issue 3 (Suppl) J Kidney, an open access journal
ISSN:2472-1220 Kidney & Nephrology 2017
August 28-30, 2017
August 28-30, 2017 Philadelphia, USA
15th Annual Congress on
Kidney: Nephrology & Therapeutics
Besut Daryanto et al., J Kidney 2017, 3:3 (Suppl)
DOI: 10.4172/2472-1220-C1-002
Management of kidney trauma in Saiful Anwar Hospital, Malang, Indonesia: A retrospective study
Besut Daryanto, Made Udiyana Indradiputra and Gusti Lanang Andi Suharibawa
Saiful Anwar General Hospital, Indonesia
Kidney is the most commonly injured genitourinary organ (65%). Kidney trauma occurs in approximately 1-5% of all
trauma cases. The present study was performed to describe and analyze the characteristics of hospitalized patients in Saiful
Anwar Hospital (SAH). During January 2005 to December 2016, 63 of kidney trauma patients in SAH were retrospectively
studied. The data were analyzed based on demographic characteristic, chief complaint, mechanism of injury, hemodynamic
stability state, grading and location of trauma and management. The association of hemodynamic state, type of management,
anemic condition, grade of kidney trauma to patient’s outcome was analyzed using SPSS. It occurred mostly in male patients
(47/74.6%), pediatric involve (22/34.9%) of total patients. Motor vehicle injury was the most common mechanism of injury
(50/79.4%). Most of the patients came with flank pain as a chief complain (42/66.7%). Trauma were occurred mostly due to
blunt trauma (61/96.8%), more frequent cases involved right kidney (33/52.4%). Grade I kidney trauma is the most frequent
occurred (40/63.5%) and stable hemodynamic state (52/82.5%). Mostly patients treated with non-operative management
(60/95.2%) and no significant difference of length of hospitalization was noted between conservative and operative treatment
(p=0.625). There were significant association between hemodynamic state and treatment options (p=0.047). However
no association was noted between type of management and patients’ outcome (p=0.436). Severe grade of trauma revealed
increasing nephrectomy rate (OR: 174, 95% CI: 8.62-315.174 p<0.01). Most of its patients in SAH were uneventfully treated by
conservative treatment. Severe grade of trauma increased risk of nephrectomy.
Biography
Besut Daryanto has completed his General Surgery study from Diponegoro University and obtained Urologist License from Airlangga University, Indonesia He is
currently the Director of Urology Department in Faculty of Medicine Brawijaya University, Saiful Anwar General Hospital, Indonesia.