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. Author manuscript; available in PMC: 2016 Jun 7.
Published in final edited form as: Injury. 2015 Mar 1;46(7):1245–1249. doi: 10.1016/j.injury.2015.02.008

Table 1.

American Association for the surgery of trauma kidney injury scale.a

Gradeb Type of injury Description of injury
I Contusion Microscopic or gross haematuria,
urologic studies normal
Haematoma Subcapsular, nonexpanding without
parenchymal laceration
II Haematoma Nonexpanding perirenal hematma confirmed
to renal retroperitoneum
Laceration <1.0 cm parenchymal depth of renal cortex
without urinary
extravagation
III Laceration <1.0 cm parenchymal depth of renal cortex
without collecting system rupture or urinary
extravagation
IV Laceration Parenchymal laceration extending through renal
cortex, medulla, and collecting system
Vascular Main renal artery or vein injury with contained
haemorrhage
V Laceration Completely shattered kidney
Vascular Avulsion of renal hilum which devascularizes
kidney
b

Advanced one grade for bilateral injuries up to grade III.