Death or Dialysis? the Risk of Dialysis-Dependent Chronic Renal Failure after Trauma Nephrectomy

2013 ◽  
Vol 79 (1) ◽  
pp. 96-100
Author(s):  
Kristopher C. Dozier ◽  
Louise Y. Yeung ◽  
Marvin A. Miranda ◽  
Emily J. Miraflor ◽  
Aaron M. Strumwasser ◽  
...  
Keyword(s):  
United States ◽  
Renal Failure ◽  
Data Bank ◽  
The United States ◽  
National Trauma ◽  
National Trauma Data Bank ◽  
Low Incidence ◽  
Stage Renal Disease ◽  
End Stage

Although renal trauma is increasingly managed nonoperatively, severe renovascular injuries occasionally require nephrectomy. Long-term outcomes after trauma nephrectomy are unknown. We hypothesized that the risk of end-stage renal disease (ESRD) is minimal after trauma nephrectomy. We conducted a retrospective review of the following: 1) our university-based, urban trauma center database; 2) the National Trauma Data Bank (NTDB); 3) the National Inpatient Sample (NIS); and 4) the U.S. Renal Data System (USRDS). Data were compiled to estimate the risk of ESRD after trauma nephrectomy in the United States. Of the 232 patients who sustained traumatic renal injuries at our institution from 1998 to 2007, 36 (16%) underwent a nephrectomy an average of approximately four nephrectomies per year. The NTDB reported 1780 trauma nephrectomies from 2002 to 2006, an average of 356 per year. The 2005 NIS data estimated that in the United States, over 20,000 nephrectomies are performed annually for renal cell carcinoma. The USRDS annual incidence of ESRD requiring hemodialysis is over 90,000, of which 0.1 per cent (100 per year) of renal failure is the result of traumatic or surgical loss of a kidney. Considering the large number of nephrectomies performed for cancer, we estimated the risk of trauma nephrectomy causing renal failure that requires dialysis to be 0.5 per cent. National data regarding the etiology of renal failure among patients with ESRD reveal a very low incidence of trauma nephrectomy (0.5%) as a cause; therefore, nephrectomy for trauma can be performed with little concern for long-term dialysis dependence.

scholarly journals Geographic variation in the incidence of treated end-stage renal disease.

1991 ◽  
Vol 2 (6) ◽  
pp. 1144-1152 ◽  
Author(s):  
B Foxman ◽  
L H Moulton ◽  
R A Wolfe ◽  
K E Guire ◽  
F K Port ◽  
...  
Keyword(s):  
United States ◽  
Native American ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Census Data ◽  
Disease Incidence ◽  
The United States ◽  
Low Incidence ◽  
Stage Renal Disease ◽  
End Stage

To facilitate identification of geographic clusters of areas with high or low incidence of treated end-stage renal disease, the 1983 to 1988 incidence by county was studied among whites and nonwhites less than 60 yr of age in the United States. End-stage renal disease incidence counts for 1983 to 1988 were obtained from the United States Renal Data System data base and linked to the 1985 county population obtained from U.S. Census data. Maps were smoothed by the method adopted by the National Cancer Institute that smooths only according to variability of the local rates, ignoring geographic information on clustering of events. In addition to identifying specific counties with exceptionally high or low incidence, geographic patterns were observed with many similarities across whites and nonwhites: notably high rates of disease in areas of the Southwest, the Southeast and in counties with Native American reservations and low rates in the West and Northwest. On the basis of these findings, several hypotheses are presented to explain the observed variation in treated end-stage renal disease incidence rates.

Trends and Outcomes of Pediatric Vascular Injuries in the United States: An Analysis of the National Trauma Data Bank

2019 ◽  
Vol 56 ◽  
pp. 52-61 ◽  
Author(s):  
Mohammad H. Eslami ◽  
Zein M. Saadeddin ◽  
Denis V. Rybin ◽  
Efthymios D. Avgerinos ◽  
Pegeen W. Eslami ◽  
...  
Keyword(s):  
United States ◽  
Data Bank ◽  
The United States ◽  
Vascular Injuries ◽  
National Trauma ◽  
National Trauma Data Bank

The Epidemiology of Mandibular Fractures in the United States, Part 1: A Review of 13,142 Cases from the US National Trauma Data Bank

2015 ◽  
Vol 73 (12) ◽  
pp. 2361-2366 ◽  
Author(s):  
Paul N. Afrooz ◽  
Michael R. Bykowski ◽  
Isaac B. James ◽  
Lily N. Daniali ◽  
Julio A. Clavijo-Alvarez
Keyword(s):  
United States ◽  
Data Bank ◽  
The United States ◽  
Mandibular Fractures ◽  
National Trauma ◽  
National Trauma Data Bank ◽  
The Us

scholarly journals Forecast of the Number of Patients with End-Stage Renal Disease in the United States to the Year 2010

2001 ◽  
Vol 12 (12) ◽  
pp. 2753-2758 ◽  
Author(s):  
Jay L. Xue ◽  
Jennie Z. Ma ◽  
Thomas A. Louis ◽  
Allan J. Collins
Keyword(s):  
United States ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
The United States ◽  
Dialysis Patients ◽  
Forecasting Models ◽  
Stage Renal Disease ◽  
End Stage ◽  
Esrd Patients

ABSTRACT. As the United States end-stage renal disease (ESRD) program enters the new millennium, the continued growth of the ESRD population poses a challenge for policy makers, health care providers, and financial planners. To assist in future planning for the ESRD program, the growth of patient numbers and Medicare costs was forecasted to the year 2010 by modeling of historical data from 1982 through 1997. A stepwise autoregressive method and exponential smoothing models were used. The forecasting models for ESRD patient numbers demonstrated mean errors of −0.03 to 1.03%, relative to the observed values. The model for Medicare payments demonstrated −0.12% mean error. The R2 values for the forecasting models ranged from 99.09 to 99.98%. On the basis of trends in patient numbers, this forecast projects average annual growth of the ESRD populations of approximately 4.1% for new patients, 6.4% for long-term ESRD patients, 7.1% for dialysis patients, 6.1% for patients with functioning transplants, and 8.2% for patients on waiting lists for transplants, as well as 7.7% for Medicare expenditures. The numbers of patients with ESRD in 2010 are forecasted to be 129,200 ± 7742 (95% confidence limits) new patients, 651,330 ± 15,874 long-term ESRD patients, 520,240 ± 25,609 dialysis patients, 178,806 ± 4349 patients with functioning transplants, and 95,550 ± 5478 patients on waiting lists. The forecasted Medicare expenditures are projected to increase to $28.3 ± 1.7 billion by 2010. These projections are subject to many factors that may alter the actual growth, compared with the historical patterns. They do, however, provide a basis for discussing the future growth of the ESRD program and how the ESRD community can meet the challenges ahead.

scholarly journals Patterns and Outcomes of Pediatric Facial Fractures in the United States: A Survey of the National Trauma Data Bank

2008 ◽  
Vol 207 (5) ◽  
pp. 710-716 ◽  
Author(s):  
Scott D. Imahara ◽  
Richard A. Hopper ◽  
Jin Wang ◽  
Frederick P. Rivara ◽  
Matthew B. Klein
Keyword(s):  
United States ◽  
Data Bank ◽  
The United States ◽  
Facial Fractures ◽  
National Trauma ◽  
National Trauma Data Bank

Disfiguring Firearm Injuries in Children in the United States

2021 ◽  
pp. 000313482110234
Author(s):  
Suhail Zeineddin ◽  
Ahmad Zeineddin ◽  
Anish Jain ◽  
Olubode A. Olufajo ◽  
Sima Koolaee ◽  
...  
Keyword(s):  
United States ◽  
Total Mortality ◽  
Data Bank ◽  
The United States ◽  
Gun Violence ◽  
Firearm Injuries ◽  
National Trauma ◽  
National Trauma Data Bank ◽  
Race Ethnicity ◽  
American Children

Firearms are a leading cause of injury and death among children in the United States. Most gun violence studies highlight mortality, but few have examined the morbidity in disfiguring injuries suffered by children. Using National Trauma Data Bank 2007-2015, children who suffered gunshot injuries and underwent procedures with lasting physical disfigurement formed the cohort of this study. We identified 28 593 children as victims of firearm injuries. Most were aged 13-18 (84%). There was a preponderance of male gender (86%) and black race/ethnicity (57%). Total mortality was 3774 (13%), and 1500 (5.4%) were identified with one or more disfigurements: 220 amputations, 191 craniectomy, 100 enucleation, 533 ileostomy/colostomy, and 557 tracheostomies. This report highlights the large toll firearm injuries take on American children, specifically in non-concealable disfigurements. These injuries are very impactful to their education and overall socialization and therefore must be a part of the discussion of gun violence in the United States.

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