@article{Orapan_Luangphattarawong_Jaseanchiun_2022, title={The Outcome of Non-Operative Management in High Grade Renal Trauma and related factor}, volume={7}, url={https://he02.tci-thaijo.org/index.php/agstjournal/article/view/256440}, abstractNote={<p><strong>Background</strong> : Non-operative management (NM) is initially approach in renal trauma.  Surgical exploration required in high-grade (grade IV, V), however the success rate challenging NM are increasing in recently reported.</p> <p><strong>Objectives </strong>: To review non-operative management strategy outcome in renal trauma and evaluative associated failure factors.</p> <p><strong>Materials and Methods</strong> :  Retrospectively reviewed renal trauma patients between January 2008 – December 2015 included patients’s demographics,  injury mechanism, clinical characteristics, laboratory and imaging data. The outcome of management were recorded and analysis the relating factors.</p> <p><strong>Results</strong> : 107 renal trauma patients included in this study. 63.6% are Low-grade and high-grade renal trauma founded 36.4% respectively. NM success rate at 82.2% in low-grade and 61.5% in high-grade group. Univariate analysis revealed hypotension, tachycardia, low hemoglobin (< 10 mg/dl) at presented, high grade renal trauma and finding sings on computed tomography (CT) such as peri- renal hematoma ≥ 3.5 cm, parenchymal infarction and intravascular extravasation were associated with failure non-operated. However, high grade renal trauma is the only failure predictor of NM on multivariate analysis (odd ratio (OR) 13.01, 95% confidence interval (CI) 2.33 – 72.62; P = 0.003).</p> <p><strong>Conclusions </strong>: Most of  renal trauma are highly success with conservative treatment. Although high-grade injury is the strongest non-operation failure factor, however, these management still feasible in clinically stable with acceptable outcome and challenging.</p> <p><strong>Keywords: </strong>non-operative management strategy, renal trauma, kidney injury, high-grade renal trauma</p>}, number={1}, journal={Journal of the Association of General Surgeons of Thailand under the Royal of Patronage of HM the King }, author={Orapan, Thanakorn and Luangphattarawong, Supawit and Jaseanchiun, Warakorn}, year={2022}, month={Apr.} }