EN
TÜRKÇE
Oral Presentation - 160
Long Term Outcomes following paediatric renal trauma: an 8-years retrospective review from a UK tertiary centre
Manal Dhaiban, Karim Awad
Bristol Royal Hospital for Children, UK
Purpose:
To evaluate long-term outcomes of paediatric renal trauma, focusing on the relationship between injury grade and renal function, and the potential association with post-traumatic hypertension.
Methods:
A Retrospective review was conducted of patients under 16 years who were admitted with renal trauma from January 2017 to December 2024. The data included trauma grade, imaging, Computed Tomography (CT), and dimercaptosuccinic acid (DMSA); blood pressure (BP) at admission, discharge, and follow-up. Functional outcomes were assessed by analysing the correlation between CT grade and the DMSA results. BP trends were reviewed using hospital and general practice (GP) records up to one year or more post-injury
Results:
Thirty-seven patients (28 male; mean age 12.2 years) were included. High-grade trauma (Grade III-V) accounted for 68%. CT was performed in all patients. Functional imaging was completed in 18 of 37 patients; among the 25 high-grade cases, DMSA results were available in 17. Spearman-Rank correlation showed a significant inverse association between the CT grade and DMSA function (P=0.57, P=0.17), indicating that higher grades are associated with reduced function. Grade III typically preserved function within the normal range, while Grade IV outcomes were variable, limiting the reliability of CT grades below Grade V. Twelve patients had elevated BP at admission, normalizing in all but two by discharge. Follow-up BP was recorded in three patients in the outpatient clinic and five on GP records. No patient developed sustained hypertension or required treatment.
Conclusion:
CT-Grade correlates with post-traumatic renal function, though only Grade V reliably predicts impairment. Grade IV outcomes were variable, underscoring the need for functional imaging. Despite limited follow-up, no hypertension was observed, suggesting low long-term risk. Nevertheless, the absence of consistent surveillance limits certainty. Structured protocols for functional imaging and BP monitoring are warranted to ensure long-term renal health in paediatric trauma.