Table 3.
Renal injury scale – American Association for Surgery of Trauma[3]
|
Grade
|
Type
|
Description
|
| Grade (I) | Contusion | Gross or microscopic hematuria |
| Hematoma | Non-expanding subcapsular hematoma, parenchyma spared | |
| Grade (II) | Hematoma | Confined non-expanding perirenal hematoma |
| Laceration | < 1 cm parenchymal tear without urine extravasation | |
| Grade (III) | Laceration | > 1 cm parenchymal tear without urine leakage |
| Grade (IV) | Laceration | Parenchymal tear across the renal cortex, medulla and collecting system |
| Vascular | Injury to major branch of renal artery or vein with contained hemorrhage | |
| Grade (V) | Laceration | Kidney is completely shattered |
| Vascular | Devascularized kidney from renal hilum avulsion |
Citation: Coccolini F, Moore EE, Kluger Y, Biffl W, Leppaniemi A, Matsumura Y, Kim F, Peitzman AB, Fraga GP, Sartelli M, Ansaloni L, Augustin G, Kirkpatrick A, Abu-Zidan F, Wani I, Weber D, Pikoulis E, Larrea M, Arvieux C, Manchev V, Reva V, Coimbra R, Khokha V, Mefire AC, Ordonez C, Chiarugi M, Machado F, Sakakushev B, Matsumoto J, Maier R, di Carlo I, Catena F; WSES-AAST Expert Panel. Kidney and uro-trauma: WSES-AAST guidelines. World J Emerg Surg 2019; 14: 54. Copyright© The Authors 2019. Published by BMC. The authors have obtained the permission for table using from the BMC Publishing Group (Supplementary material).