Table 3.
Multivariate logistic regression model of initial expectant management before nephrectomy, the need for multiple interventions and requirement for nephrectomy for all renal trauma injury grades
| Initial Conservative Management OR (95% CI) | Need for Multiple Procedures OR (95% CI) | Nephrectomy Performed OR (95% CI) | |
|---|---|---|---|
| Level I (vs all other levels) | 1.90 (1.19, 3.05) | 0.70 (0.52, 0.95) | 1.00 (0.79, 1.26) |
| Region (vs Midwest): | |||
| Northeast | 0.13 (0.01, 1.27) | 0.54 (0.23, 1.27) | 0.70 (0.37, 1.34) |
| South | 0.69 (0.41, 1.16) | 0.89 (0.64, 1.23) | 1.46 (1.11, 1.91) |
| West | 1.36 (0.65, 2.85) | 0.65 (0.39, 1.08) | 0.54 (0.36, 0.81) |
| Trauma mechanism (vs blunt): | |||
| Penetrating | 0.49 (0.29, 0.82) | 0.51 (0.37, 0.71) | 4.58 (0.14, 42.0) |
| Kidney AAST grade (vs grade I): | |||
| II | 0.91 (0.19, 4.39) | 1.08 (0.56, 2.07) | 2.76 (1.25, 6.07) |
| III | 0.85 (0.22, 3.25) | 1.13 (0.58, 2.18) | 9.09 (4.30, 19.2) |
| IV | 1.04 (0.30, 3.71) | 2.18 (1.18, 4.02) | 57.4 (27.9, 118) |
| V | 0.62 (0.17, 2.34) | 1.51 (0.74, 3.03) | 223 (104, 478) |
Adjusted for age, gender, race and ISS.