High-Grade Renal Trauma: Does Management Predict Length of Hospital Stay?
Lindsay A Hampson, Anobel Y Odisho, Benjamin N Breyer, Jack W McAninch
•Cross-sectional retrospective analysis of a prospective contiguous database of individuals who sustained unilateral high-grade renal trauma at San Francisco General Hospital in San Francisco, CA fro 9/21/77 through 8/10/2012
Predictors of Length of Hospital Stay
In adjusted multivariate analysis, the following were significant predictors of increased length of hospital stay:
Median hospital stay was shorter for for patients that did not not undergo renal exploration, although the difference between length of hospital stay for operative and conservative management was not found to be statistically significant
Further evaluation of how conservative versus surgical management of renal trauma may impact overall costs of trauma and hospitalization are necessary to understand the full health policy and economic implications of renal trauma management
These results suggest that conservative management of high-grade renal trauma does not extend patients’ length of hospitalization, and may even result in decreased length of hospital stay