SIGNIFICANCE OF RENAL FUNCTION IN TRAUMA: AN OBSERVATIONAL STUDY TO ASCERTAIN CORRELATION TO EGFR

Objective: To assess renal function in combat patients at the time of arrival from Balochistan in Accident & Emergency (A&E) of an ‘A’ Class Military Hospital. Study Design: Retrospective observational study with analysis to find correlation between measurable variables and glomerular fil...

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Autores principales:	Syed Faraz Ahmed, Muhammad Uzair, Anas Bin Saif, Ahmed Mushtaq Khan, Saima Faraz
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	egfr renal dysfunction combat injuries Medicine R Medicine (General) R5-920
Acceso en línea:	https://doi.org/10.51253/pafmj.v70i6.2670 https://doaj.org/article/8cb75e60903341ffa3d03d19c8d3318b
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spelling	oai:doaj.org-article:8cb75e60903341ffa3d03d19c8d3318b2021-12-02T14:57:32ZSIGNIFICANCE OF RENAL FUNCTION IN TRAUMA: AN OBSERVATIONAL STUDY TO ASCERTAIN CORRELATION TO EGFRhttps://doi.org/10.51253/pafmj.v70i6.26700030-96482411-8842https://doaj.org/article/8cb75e60903341ffa3d03d19c8d3318b2020-12-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/2670https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To assess renal function in combat patients at the time of arrival from Balochistan in Accident & Emergency (A&E) of an ‘A’ Class Military Hospital. Study Design: Retrospective observational study with analysis to find correlation between measurable variables and glomerular filtration rate. Place and Duration Of Study: Combined Military Hospital Malir Cantonment, Karachi, from October 2015 to October 2018. Material and Methods: 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: 75 patients were brought to A&E. 14 (18.66%) were brought in dead. There were 44 (58.6%) gunshot wounds, 14 (18.6%) blast injuries and 17 (22.6%) accidents post ambush attack. 26 (34.66%) were included in the study, with NISS ≥16. All patients were male with mean age 29.73 ± 5.08. 20 (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. 6 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 to CMH Malir, in the field medical units. Conclusion: Fluid resuscitation in the field lowers the possibility of renal dysfunction.Syed Faraz AhmedMuhammad UzairAnas Bin SaifAhmed Mushtaq KhanSaima FarazArmy Medical College Rawalpindiarticleegfrrenal dysfunctioncombat injuriesMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 6, Pp 1771-1775 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	egfr renal dysfunction combat injuries Medicine R Medicine (General) R5-920
spellingShingle	egfr renal dysfunction combat injuries Medicine R Medicine (General) R5-920 Syed Faraz Ahmed Muhammad Uzair Anas Bin Saif Ahmed Mushtaq Khan Saima Faraz SIGNIFICANCE OF RENAL FUNCTION IN TRAUMA: AN OBSERVATIONAL STUDY TO ASCERTAIN CORRELATION TO EGFR
description	Objective: To assess renal function in combat patients at the time of arrival from Balochistan in Accident & Emergency (A&E) of an ‘A’ Class Military Hospital. Study Design: Retrospective observational study with analysis to find correlation between measurable variables and glomerular filtration rate. Place and Duration Of Study: Combined Military Hospital Malir Cantonment, Karachi, from October 2015 to October 2018. Material and Methods: 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: 75 patients were brought to A&E. 14 (18.66%) were brought in dead. There were 44 (58.6%) gunshot wounds, 14 (18.6%) blast injuries and 17 (22.6%) accidents post ambush attack. 26 (34.66%) were included in the study, with NISS ≥16. All patients were male with mean age 29.73 ± 5.08. 20 (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. 6 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 to CMH Malir, in the field medical units. Conclusion: Fluid resuscitation in the field lowers the possibility of renal dysfunction.
format	article
author	Syed Faraz Ahmed Muhammad Uzair Anas Bin Saif Ahmed Mushtaq Khan Saima Faraz
author_facet	Syed Faraz Ahmed Muhammad Uzair Anas Bin Saif Ahmed Mushtaq Khan Saima Faraz
author_sort	Syed Faraz Ahmed
title	SIGNIFICANCE OF RENAL FUNCTION IN TRAUMA: AN OBSERVATIONAL STUDY TO ASCERTAIN CORRELATION TO EGFR
title_short	SIGNIFICANCE OF RENAL FUNCTION IN TRAUMA: AN OBSERVATIONAL STUDY TO ASCERTAIN CORRELATION TO EGFR
title_full	SIGNIFICANCE OF RENAL FUNCTION IN TRAUMA: AN OBSERVATIONAL STUDY TO ASCERTAIN CORRELATION TO EGFR
title_fullStr	SIGNIFICANCE OF RENAL FUNCTION IN TRAUMA: AN OBSERVATIONAL STUDY TO ASCERTAIN CORRELATION TO EGFR
title_full_unstemmed	SIGNIFICANCE OF RENAL FUNCTION IN TRAUMA: AN OBSERVATIONAL STUDY TO ASCERTAIN CORRELATION TO EGFR
title_sort	significance of renal function in trauma: an observational study to ascertain correlation to egfr
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doi.org/10.51253/pafmj.v70i6.2670 https://doaj.org/article/8cb75e60903341ffa3d03d19c8d3318b
work_keys_str_mv	AT syedfarazahmed significanceofrenalfunctionintraumaanobservationalstudytoascertaincorrelationtoegfr AT muhammaduzair significanceofrenalfunctionintraumaanobservationalstudytoascertaincorrelationtoegfr AT anasbinsaif significanceofrenalfunctionintraumaanobservationalstudytoascertaincorrelationtoegfr AT ahmedmushtaqkhan significanceofrenalfunctionintraumaanobservationalstudytoascertaincorrelationtoegfr AT saimafaraz significanceofrenalfunctionintraumaanobservationalstudytoascertaincorrelationtoegfr
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SIGNIFICANCE OF RENAL FUNCTION IN TRAUMA: AN OBSERVATIONAL STUDY TO ASCERTAIN CORRELATION TO EGFR

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