MP47-07 FOLLOW-UP PATTERNS AND POST-INJURY PHYSICAL ACTIVITY RECOMMENDATIONS IN PEDIATRIC HIGH-GRADE RENAL TRAUMA: A MULTI-CENTER, RETROSPECTIVE ANALYSIS FROM THE TRAUMATIC RENAL INJURY COLLABORATIVE IN KIDS (TRICK) CONSORTIUM
Jacob LucasChing Man Carmen TongVinaya BhatiaJeffrey L. EllisBenjamin AbelsonAlbert S. LeeDouglass B. ClaytonKirstin SimmonsGabriella L. CraneHarold N. LovvornJonathan A. GerberMing WangXiaoyi ZhuoMadhushree ZopePankaj DangleRobert T. RussellSumit Kumar SinghDaniel MeccaChristina T. HoChristopher LongDana A. Weiss
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You have accessJournal of UrologyPediatric Urology III (MP47)1 Sep 2021MP47-07 FOLLOW-UP PATTERNS AND POST-INJURY PHYSICAL ACTIVITY RECOMMENDATIONS IN PEDIATRIC HIGH-GRADE RENAL TRAUMA: A MULTI-CENTER, RETROSPECTIVE ANALYSIS FROM THE TRAUMATIC RENAL INJURY COLLABORATIVE IN KIDS (TRICK) CONSORTIUM Jacob W. Lucas, Ching Man Carmen Tong, Vinaya Bhatia, Jeffrey L. Ellis, Benjamin Abelson, Albert S. Lee, Douglass B. Clayton, Kirstin Simmons, Gabriella Crane, Harold N. Lovvorn, Jonathan Gerber, Ming Wang, Xiaoyi Zhuo, Madhushree Zope, Pankaj P. Dangle, Robert T. Russell, Sumit Singh, Daniel Mecca, Christina Ho, Christopher J. Long, and Dana A. Weiss Jacob W. LucasJacob W. Lucas More articles by this author , Ching Man Carmen TongChing Man Carmen Tong More articles by this author , Vinaya BhatiaVinaya Bhatia More articles by this author , Jeffrey L. EllisJeffrey L. Ellis More articles by this author , Benjamin AbelsonBenjamin Abelson More articles by this author , Albert S. LeeAlbert S. Lee More articles by this author , Douglass B. ClaytonDouglass B. Clayton More articles by this author , Kirstin SimmonsKirstin Simmons More articles by this author , Gabriella CraneGabriella Crane More articles by this author , Harold N. LovvornHarold N. Lovvorn More articles by this author , Jonathan GerberJonathan Gerber More articles by this author , Ming WangMing Wang More articles by this author , Xiaoyi ZhuoXiaoyi Zhuo More articles by this author , Madhushree ZopeMadhushree Zope More articles by this author , Pankaj P. DanglePankaj P. Dangle More articles by this author , Robert T. RussellRobert T. Russell More articles by this author , Sumit SinghSumit Singh More articles by this author , Daniel MeccaDaniel Mecca More articles by this author , Christina HoChristina Ho More articles by this author , Christopher J. LongChristopher J. Long More articles by this author , and Dana A. WeissDana A. Weiss More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002068.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Although renal trauma is a common entity in pediatric patients presenting with traumatic injury, there is little consensus regarding optimal timing of follow-up or recommendations for abstinence from physical activities following these injuries. We aimed to characterize patterns of follow-up and post-trauma activity recommendations following high-grade pediatric renal trauma. METHODS: We reviewed all pediatric patients (<18 years-old) presenting to or transferred to one of five level-1 pediatric trauma centers with AAST (American Association for the Surgery of Trauma) high-grade (grades III-V) renal traumas from 2007-2020. AAST renal trauma grades were based on delayed contrast-enhanced axial computed tomography (CT). Patients were excluded for incomplete grading of renal trauma, or death within 24 hours of presentation. Patient follow-up patterns and recommendations regarding physical activity were assessed from hospital records. RESULTS: A total of 328 patients were included in final analysis: 144 grade III, 150 grade IV, and 34 grade V, respectively (Table 1). After hospital discharge, 31.4% (103/328) of patients had documented follow-up with urology, 33.5% (110/328) with trauma surgery, and 4.6% (15/328) with nephrology with a median interval to follow-up of 30.0 days (IQR 11.0-56.0). Patients who were transferred from outside institution had similar rates of urology follow-up (40.0% vs 33.3%, p=0.31). A majority, 56.1% (184/328), received recommendations regarding physical activity with a median recommendation of 5.0 weeks (IQR 2.0-6.0). Specific activity recommendations are found in Table 2. CONCLUSIONS: In this large, multi-center cohort of high-grade pediatric renal trauma, less than 2/3 of patients had documented follow-up with their treating urologist. Additionally, only 56% of patients received recommendations regarding return to physical activity, and with highly variable time-frames and restrictions. Better standardization of follow up and post-trauma activity recommendations is needed. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e825-e825 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jacob W. Lucas More articles by this author Ching Man Carmen Tong More articles by this author Vinaya Bhatia More articles by this author Jeffrey L. Ellis More articles by this author Benjamin Abelson More articles by this author Albert S. Lee More articles by this author Douglass B. Clayton More articles by this author Kirstin Simmons More articles by this author Gabriella Crane More articles by this author Harold N. Lovvorn More articles by this author Jonathan Gerber More articles by this author Ming Wang More articles by this author Xiaoyi Zhuo More articles by this author Madhushree Zope More articles by this author Pankaj P. Dangle More articles by this author Robert T. Russell More articles by this author Sumit Singh More articles by this author Daniel Mecca More articles by this author Christina Ho More articles by this author Christopher J. Long More articles by this author Dana A. Weiss More articles by this author Expand All Advertisement Loading ...Cite
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