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- Title
SIGNIFICANCE OF RENAL FUNCTION IN TRAUMA: AN OBSERVATIONAL STUDY TO ASCERTAIN CORRELATION TO EGFR.
- Authors
Anwar, Syed Faraz; Uzair, Muhammad; Saif, Anas Bin; Khan, Ahmed Mushtaq; Faraz, Saima
- Abstract
Objective: To assess renal function in patients at the time of arrival accident & emergency of a tertiary care hospital. Study Design: Retrospective observational study. Place and Duration of Study: Tertiary care hospital, Karachi-Pakistan, from Oct 2015 to Oct 2018. Methodology: All patients with major injuries (New Injury Severity Score NISS ≥16) were included in the study to assess kidney function by calculating their estimated glomerular filtration rate (eGFR) using serum creatinine. Correlation was calculated between eGFR and other variables which were pulse, mean arterial pressure, temperature and haemoglobin. Results: Seventy five patients were brought to accident and emergency. Fourteen (18.66%) were brought in dead. There were 44 (58.6%) gunshot wounds, 14 (18.6%) blast injuries and 17 (22.6%) accidents. Twenty six (34.66%) were included in the study, with NISS ≥16. All patients were male with mean age 29.73 ± 5.08. Twenty (77%) patients were fluid resuscitated in pre-hospital setting whereas 6 (23%) were not. Statistically significant correlations were found among eGFR and pulse rate, body temperature, mean arterial pressure, hemoglobin and NISS. Six out of 26 patients not resuscitated in pre-hospital setting had a median eGFR of 53.5, as compared to median eGFR of 70 in 20 patients who were resuscitated before evacuation in the field medical units. Conclusion: Fluid resuscitation in the field lowers the possibility of renal dysfunction.
- Publication
Pakistan Armed Forces Medical Journal, 2020, Vol 70, Issue 6, p1771
- ISSN
0030-9648
- Publication type
Academic Journal
- DOI
10.51253/pafmj.v70i6.2670